Net Etiquette Goals and Mission

GOALS AND MISSION FOR http://www.mentalhealthsupportcommunity.com on line peer to peer support group ….

SHARE THE AIR;
We want all to have the opportunity to share!

GIVE BACK;
We often benefit by offering support to others by sharing in our own struggles, triumphs, and experiences!

DIFFERENCES OF OPINIONS ARE OKAY;
We are all entitled to our own point of view!

WE ARE ALL EQUALS;
Accept all Cultural, Linguistic, Social, and Racial differences and promote their acceptance!

USE “I” IN SUPPORT GROUP LANGUAGE;
We do not participate in our Support Group / Community as Professionals, we do not instruct,k or advise. However we share in our own experiences. Only we know what is best for our own Health along with our Doctor’s instructions!

IT”S OKAY NOT TO SHARE;
People may just read. You do not have to share if you do not want to!

IT’S EVERYONE’S RESPONSIBILITY TO MAKE THE SUPPORT GROUP / COMMUNITY A SAFE HAVEN TO SHARE!
We respect confidentiality, treat each other with kindness, and show compassion!

You must be 18 years or older to join in our Support Group / Community!

The *Goal *of Mental Health Support Community is that with Professional help “Support” greatly increases the chance of individuals suffering from Mental Illness to either begin, or continue on their way to, or through Recovery. Along with your Medically approved Treatment, we hope you Meet, Greet, Share, and Support with others who are dealing with the same struggles that come along with dealing with these types of Illnesses!

The *Mission* of Mental Health Support Community is to limit the harm that a Mental Health Diagnosis can inflict by offering Peer Support through this Net-Work; by connecting people around the World to another in order to share your own Fears, Medication Management, possible Side Effects, Therapy, Joy’s, and Sorrow’s!

If you have been diagnosed with any Mental Health Disorder we Welcome you to this Peer Support Group / Community. We offer you to give, and gain Peer Support through your journey of Symptoms, Triggers, Treatment, and Recovery. We encourage you to share your journey of Therapy and form friendships with others who are battling the same fight that you are!

Sincerely,
The Support Team….

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Mental Health Resources

Local Organizations with Mental Health Expertise

These organizations can help coordinate a community event, locate speakers who have expertise in mental health, offer peer and family supports, and provide general information on mental health as well as treatment, and available services for mental health issues.

Children, Youth, and Young Adults | National and Community Organizations

Children, Youth, and Young Adults

4-H National Headquarters / National Institute of Food and Agriculture (NIFA)/USDA exit disclaimer icon

Contact: 4hhq@nifa.usda.gov; 202-401-4114

The Division of Youth and 4-H and the Division of Family and Consumer Sciences (FCS) at the National Institute for Food and Agriculture (NIFA) within USDA support the socio-economic prosperity of people and communities, develop human and community capital, provide youth leadership experiences, and ensure families remain strong and healthy.  Helpful resources provided by 4-H National Headquarters / National Institute of Food and Agriculture (NIFA)/USA:

  • Family and Consumer Sciences programs exit disclaimer icon promote the human sciences in NIFA priority areas through research, education and extension.  Family and Consumer Sciences programs aim to:
    • Strengthen families, farms, communities, and the economy through applied science and investments in research to understand how people can improve their well-being and quality of life
    • Enhance human development and family well-being
    • Address military youth, family and veteran well-being
  • Division of Youth and 4-H exit disclaimer icon provides leadership and oversight to youth development programs engage youth within their communities, schools, organizations, peer groups, and families.  Division of Youth and 4-H Programs include:
    • Children, Youth, and Families at Risk Program exit disclaimer icon promotes building resiliency and protective factors in youth, families, and communities.
    • Agriculture in the Classroom Program exit disclaimer icon aims to improve agricultural literacy in the nation’s secondary schools.
    • Rural Youth programs exit disclaimer icon address rural youth needs and involve youth in the design and implementation of their educational activities.
    • 4-H Afterschool Program exit disclaimer icon increases the extension staff work in after-school programs and strengthens collaborations with other youth-serving organizations.  The program also increases the quality and availability of after-school programs in America’s communities.
  • Find a local 4-H Office exit disclaimer icon

Active Minds exit disclaimer icon
Contact: info@activeminds.org

Active Minds is a nonprofit organization dedicated to utilizing the student voice to raise mental health awareness among college students. Active Minds empowers students to speak openly about mental health in order to educate others and encourage help-seeking while also providing expertise in college mental health promotion and suicide prevention.  Helpful resources provided by Active Minds include:

  • Mental Health Speakers Bureau exit disclaimer icon provides a directory of Active Minds speakers that can bring the mental health conversation to your community.
    • Contact Active Minds about holding an event on a college campus or for information about involving youth in mental health programming and events.
  • Send Silence Packing exit disclaimer icon is a program to reduce college student suicide and promote a dialogue about mental health issues on college campuses,
  • Awareness activities exit disclaimer icon that address negative attitudes and beliefs about mental illness, stress, eating disorders, and veteran student mental health.
  • Emerging Scholars Fellowship exit disclaimer icon provides an opportunity for students to complete independent research or creative projects devoted to mental health with emphasis on issues relevant to younger communities.
  • Find a Local Chapter exit disclaimer icon to get involved in raising mental health awareness among college students.

American Academy of Child & Adolescent Psychiatry exit disclaimer icon
Contact: 202-966-7300

The American Academy of Child & Adolescent Psychiatry’s (AACAP) mission is to promote the healthy development of children, adolescents, and families through research, training, prevention, comprehensive diagnosis and treatment and to meet the professional needs of child and adolescent psychiatrists throughout their careers.  Helpful resources from AACAP:


Child Mind Institute exit disclaimer icon
Contact: 212-308-3118

The Child Mind Institute is committed to finding effective treatments for childhood psychiatric and learning disorders, building the science of healthy brain development, and empowering children and their families with help, hope, and answers. Helpful resources provided by The Child Mind Institute include:


The Jed Foundation exit disclaimer icon
Contact: 212-647-7544

The Jed Foundation provides expertise in promoting emotional and mental health and preventing suicide among teens, young adults, and college students.  Helpful resources provided by the Jed Foundation include:

  • Resources for campus professionals exit disclaimer icon that address emotional and mental health systems in college and university campuses and crisis management on college and university campuses.
  • Online communications strategies and resources for supporting the emotional and mental health of college students and young adults
  • Community based approaches to mental health promotion and suicide prevention

Jed Foundation Projects:

  • JedCampus exit disclaimer icon helps schools create a framework for a campus community where emotional wellbeing is nurtured and protected.
  • Half of Us exit disclaimer icon highlights stories of students and high-profile artists to increase awareness about mental health problems and the importance of getting help.
  • Ulifeline exit disclaimer icon is an online resource offering campus-specific resources for getting help and an anonymous screening tool.
  • LawLifeline exit disclaimer icon is an anonymous, confidential, online resource center, where law school students can be comfortable searching for the information they need and want regarding emotional health.
  • Transition Year exit disclaimer icon helps campuses, parents and students navigate the transition into college with a focus on emotional health.
  • Love is Louder exit disclaimer icon is a social networking campaign and grassroots movement that helps students and campuses create connectedness and encourage help-seeking.

National Child Traumatic Stress Network (NCCTS) exit disclaimer icon
Contact: info@nctsn.org

NCCTS responds to specific requests for assistance, information, speakers, training, and events.
Through their online learning center exit disclaimer icon, NCCTS offers resources, training, and educational opportunities covering:

  • Physical and sexual abuse
  • Domestic, school, and community violence
  • Natural disasters, terrorism, or military family challenges
  • Life-threatening injury and illness

National Federation of Families for Children’s Mental Health exit disclaimer icon
Contact: 240-403-1901

The National Federation of Families for Children’s Mental Health is a s a national family-run organization focused on the issues of children and youth with emotional, behavioral, or mental health needs and their families. Helpful Resources provided by the National Federation of Families for Children’s Mental Health include:

  • Networks of family members available to participate as speakers at awareness events and community dialogues.
  • Fact sheets exit disclaimer icon for Families
  • Youth Empowered  portal exit disclaimer icon which shares the work youth are doing at national, community, and local levels and also provides resources and opportunities for youth to join the movement.
  • Find a Local Chapter exit disclaimer icon to further support families, children and youth in your community.

The Trevor Project exit disclaimer icon

Contact to request The Trevor Foundation speakers: Nathan.Belyeu@TheTrevorProject.org exit disclaimer icon,Wes.Nemenz@TheTrevorProject.org exit disclaimer icon, or Arquimides.Pacheco@TheTrevorProject.org exit disclaimer icon

The Trevor Project provides crisis intervention and suicide prevention services to lesbian, gay, bisexual, transgender, and questioning youth.  Helpful resources provided by the Trevor Foundation:

  • The Trevor Project Programs exit disclaimer icon provide life-saving and life-affirming resources for LGBTQ youth and to create safe, accepting and inclusive environments for all young people, regardless of sexual orientation or gender identity.
  • Educator and Parent Resources exit disclaimer icon including brochures, books, and films
  • Archived webinars exit disclaimer icon focus on how to reduce the risk for suicide, promote resiliency, and incorporate the best practices to create positive environments for all youth and are designed for service providers, educators, and other adults across the country.

Youth M.O.V.E. National exit disclaimer icon
Contact: 800-580-6199

Youth M.O.V.E. National is devoted to improving services and systems that support positive growth and development by uniting the voices of individuals who have lived experience in various systems including mental health, juvenile justice, education, and child welfare. Helpful resources provided by Youth MOVE National:

  • Find a local chapter exit disclaimer icon
  • Youth M.O.V.E. National’s young adult leaders are available to provide authentic young adult voices to participate in community conversations about mental health around the country.

National and Community Organizations

American Bar Association exit disclaimer icon
Contact: nmhd@americanbar.org

The American Bar Association is committed to improving the legal profession, eliminating bias and enhancing diversity, and advancing the rule of law throughout the United States and around the world. Helpful resources from the American Bar Association:

  • American Bar Association Health Law Section exit disclaimer icon webpage
  • American Bar Association Division for Public Service exit disclaimer icon webpage
  • American Bar Association’s Commission on Youth at Risk exit disclaimer icon has entities that work with professional youth service providers.
  • American Bar Association speakers and facilitators:
    • American Bar Association’s Public Education Committee exit disclaimer icon is familiar with preparing materials and hosting local conversations to promote civic engagement and to educate youth and the general public on important legal and policy considerations and rights.
    • American Bar Association’s trained mediators/facilitators and experts in legal aspects of mental health issues and public safety are available to participate as speakers during community conversations about mental health.
    • American Bar Association’s Section of Dispute Resolution Committee on Public Policy, Consensus Building, and Democracy exit disclaimer icon can identify committee and section members to serve as facilitators for community conversations.

American Psychiatric Association (APA) exit disclaimer icon
Contact: apa@psych.org; 888-35-PSYCH (77924)

The American Psychiatric Association member physicians work together to ensure humane care and effective treatment for all persons with mental disorders, including intellectual disabilities and substance use disorders. Helpful resources from the American Psychiatric Association:

  • Typical or Troubled?™ exit disclaimer icon School Mental Health Education Program address the important role adults can have in a teen’s life and the importance of early identification of mental health problems.
  • APA resources exit disclaimer icon on mental health.

American Psychiatric Nurses Association exit disclaimer icon
Contact: 855-863-APNA (2762)

The American Psychiatric Nurses Association is committed to the specialty practice of psychiatric-mental health (PMH) nursing and wellness promotion, prevention of mental health problems, and the care and treatment of persons with psychiatric disorders. Helpful resources from the American Psychiatric Nurses Association:

  • Information about mental health nursing and recovery:
  • American Psychiatric Nurses Association speakers available to participate in community conversations about mental health.

Association for Behavioral Health & Wellness (ABHW) exit disclaimer icon
Contact: info@abhw.org; 202-449-7660

The Association for Behavioral Health & Wellness (ABHW) is a national voice for specialty behavioral health and wellness companies. ABHW member companies provide specialty services to treat mental health, substance use and other behaviors that impact health. Helpful resources from ABHW:

  • ABHW members are available to speak about mental health and overall well-being on webinars or at community conversations. Topics of expertise include:
    • Behavioral health
    • Managed care – a checks and balances system that helps allocate fixed health care resources.
    • Equitable mental health coverage (parity)
    • Health Care Reform Implementation
  • ABHW Publications exit disclaimer icon about various ABHW issues.

Committee of Interns and Residents (CIR)/SEIU Healthcare exit disclaimer icon
Contact: info@cirseiu.org; 800-247-8877

The Committee of Interns and Residents (CIR) gives residents, interns, and fellows a voice to improve their salary and working conditions, their education and training, and the quality of care they provide to patients. CIR members and alumni exit disclaimer icon are available to be speakers and/or facilitators at community conversations about mental health as well as provide resources for dialogue speakers and facilitators. CIR speakers include:

  • CIR resident physicians currently in training for all specialties, including psychiatry
  • CIR alumni who can share stories about helping patients with mental health problems

Community Anti-Drug Coalitions of America (CADCA) exit disclaimer icon
Contact: 800-54-CADCA (22322)

The Community Anti-Drug Coalitions of America (CADCA) is a membership organization representing those working to make their communities safe, healthy and drug-free. CADCA provides expertise in building coalitions to address local conditions including:

  • Underage and binge drinking
  • Youth tobacco use
  • Illicit drug use
  • Abuse of over-the-counter and prescription medicines

CADCA can support community conversations by providing training exit disclaimer icon and resources exit disclaimer icon to speakers and facilitators.

CADCA can provide local coalition members that will serve as facilitators for community conversations. Contact CADCA to connect with a local prevention coalition; CADCA has members in every state and territory.


Mental Health America exit disclaimer icon
Contact: 800-969-6642

Mental Health America (MHA) is a nonprofit organization dedicated to helping all people live mentally healthier lives. Helpful resources from Mental Health America:


National Alliance on Mental Illness (NAMI) exit disclaimer icon
Contact: info@nami.org; 800-950-6264

The National Alliance on Mental Illness is dedicated to building better lives for the millions of Americans affected by mental illness. Contact NAMI to access support, information, and free education programs for families and individuals living with mental health problems. Helpful resources from NAMI:


National Association of County Behavioral Health and Developmental Disability Directors (NACBHDD) exit disclaimer icon
Contact: 202-942-4296

NACBHHD’s network of county and local behavioral health and developmental disability authorities have extensive expertise in county-run mental health, substance use, and intellectual disability/ developmental disability (ID/DD) systems. NACBHDD can help communities:

  • Organize efforts and strengthen local support for community conversations about mental health
  • Identify experts from county governmental organizations to speak at or participate in local events and community conversations

National Association of State Mental Health Program Directors (NASMHD) exit disclaimer icon
Contact: 703-739-9333

NASMHPD represents state mental health agencies and their directors. NASMHPD can help communities:

  • Connect with State Mental Health Commissioners exit disclaimer icon
  • Identify experts from state governmental organizations to notify about or invite to community conversations and local events.

National Council for Community Behavioral Healthcare exit disclaimer icon
Contact: 202-684-7457

The National Council represents the nation’s mental health and substance use treatment providers crossing the spectrum of the behavioral healthcare industry including: community mental health centers, substance use treatment organizations, state and county agencies, children and adolescent providers, hospitals, and managed care companies. Helpful resources from the National Council:

  • Visit the National Council’s Find a Provider exit disclaimer icon website for help accessing local treatment and service providers.
  • Find a Local National Council Member Organization exit disclaimer icon to learn more about resources and services available in your community. You may also connect with member organizations to identify invite them to participate in community conversations or planning efforts.

National Coalition for Mental Health Recovery exit disclaimer icon
Contact: 866-247-9058

The National Coalition for Mental Health Recovery’s mission is to ensure that consumers and survivors have a major voice in the development and implementation of health care, mental health, and social policies at the state and national levels, empowering people to recover and lead a full life in the community. National Coalition members exit disclaimer icon are available to participate as speakers at awareness events and community conversations to provide expertise in peer participation in policy development.


National Family Dialogue (NFD) exit disclaimer icon
Contact: Scrossbear@centurytel.net or Sharon@momstell.org

The NFD (National Family Dialogue) is an open forum to exchange information, share concerns and support for families with youth that are experiencing or have experienced Substance Use Disorders. You may contact the NFD for:

  • Family resources for youth with substance use disorders
  • Information about family support networks
  • Participation in educational conference calls
  • Access to NFD Facebook page
  • Resources and current events related to youth substance use
  • NFD’s network of family members is available to participate as speakers at awareness events and community conversations.

National Physicians Alliance exit disclaimer icon
Contact: npa@npalliance.org

The National Physicians Alliance supports research and education programs that promote health and foster active engagement of physicians with their communities to achieve high quality, affordable health care for all.

  • NPA can identify physicians with mental health expertise who can participate in or speakers at awareness events and community conversations.
  • Connect with NPA’s Local Networks exit disclaimer icon for additional ways to collaborate with physicians in your region, state or community.

National PTA exit disclaimer icon
Contact: info@pta.org

The National PTA represents millions of families, students, teachers, administrators, and business and community leaders devoted to the educational success of children and the promotion of parent involvement in schools. The National PTA can help you find a local PTA representative that you can invite to participate in community conversations and planning efforts.


YWCA USAexit disclaimer icon
Contact: info@ywca.org

YWCA is dedicated to eliminating racism, empowering women and promoting peace, justice, freedom and dignity for all. You may contact the YWCA in your local area exit disclaimer icon for expertise in mental health services, and supports for women and children who are impacted by domestic violence.

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Anxiety Disorders

Definition

Occasional anxiety is a normal part of life. You might feel anxious when faced with a problem at work, before taking a test, or making an important decision. But anxiety disorders involve more than temporary worry or fear. For a person with an anxiety disorder, the anxiety does not go away and can get worse over time. The feelings can interfere with daily activities such as job performance, school work, and relationships. There are several different types of anxiety disorders. Examples include generalized anxiety disorder, panic disorder, and social anxiety disorder.

Signs and Symptoms

Generalized Anxiety Disorder

People with generalized anxiety disorder display excessive anxiety or worry for months and face several anxiety-related symptoms.

Generalized anxiety disorder symptoms include:

  • Restlessness or feeling wound-up or on edge
  • Being easily fatigued
  • Difficulty concentrating or having their minds go blank
  • Irritability
  • Muscle tension
  • Difficulty controlling the worry
  • Sleep problems (difficulty falling or staying asleep or restless, unsatisfying sleep)

Panic Disorder

People with panic disorder have recurrent unexpected panic attacks, which are sudden periods of intense fear that may include palpitations, pounding heart, or accelerated heart rate; sweating; trembling or shaking; sensations of shortness of breath, smothering, or choking; and feeling of impending doom.

Panic disorder symptoms include:

  • Sudden and repeated attacks of intense fear
  • Feelings of being out of control during a panic attack
  • Intense worries about when the next attack will happen
  • Fear or avoidance of places where panic attacks have occurred in the past

Social Anxiety Disorder

People with social anxiety disorder (sometimes called “social phobia”) have a marked fear of social or performance situations in which they expect to feel embarrassed, judged, rejected, or fearful of offending others.

Social anxiety disorder symptoms include:

  • Feeling highly anxious about being with other people and having a hard time talking to them
  • Feeling very self-conscious in front of other people and worried about feeling humiliated, embarrassed, or rejected, or fearful of offending others
  • Being very afraid that other people will judge them
  • Worrying for days or weeks before an event where other people will be
  • Staying away from places where there are other people
  • Having a hard time making friends and keeping friends
  • Blushing, sweating, or trembling around other people
  • Feeling nauseous or sick to your stomach when other people are around

Evaluation for an anxiety disorder often begins with a visit to a primary care provider. Some physical health conditions, such as an overactive thyroid or low blood sugar, as well as taking certain medications, can imitate or worsen an anxiety disorder. A thorough mental health evaluation is also helpful, because anxiety disorders often co-exist with other related conditions, such as depression or obsessive-compulsive disorder.

Risk Factors

Researchers are finding that genetic and environmental factors, frequently in interaction with one another, are risk factors for anxiety disorders. Specific factors include:

  • Shyness, or behavioral inhibition, in childhood
  • Being female
  • Having few economic resources
  • Being divorced or widowed
  • Exposure to stressful life events in childhood and adulthood
  • Anxiety disorders in close biological relatives
  • Parental history of mental disorders
  • Elevated afternoon cortisol levels in the saliva (specifically for social anxiety disorder)

Treatments and Therapies

Anxiety disorders are generally treated with psychotherapy, medication, or both.

Psychotherapy

Psychotherapy or “talk therapy” can help people with anxiety disorders. To be effective, psychotherapy must be directed at the person’s specific anxieties and tailored to his or her needs. A typical “side effect” of psychotherapy is temporary discomfort involved with thinking about confronting feared situations.

Cognitive Behavioral Therapy (CBT)

CBT is a type of psychotherapy that can help people with anxiety disorders. It teaches a person different ways of thinking, behaving, and reacting to anxiety-producing and fearful situations. CBT can also help people learn and practice social skills, which is vital for treating social anxiety disorder.

Two specific stand-alone components of CBT used to treat social anxiety disorder are cognitive therapy and exposure therapy. Cognitive therapy focuses on identifying, challenging, and then neutralizing unhelpful thoughts underlying anxiety disorders.

Exposure therapy focuses on confronting the fears underlying an anxiety disorder in order to help people engage in activities they have been avoiding. Exposure therapy is used along with relaxation exercises and/or imagery. One study, called a meta-analysis because it pulls together all of the previous studies and calculates the statistical magnitude of the combined effects, found that cognitive therapy was superior to exposure therapy for treating social anxiety disorder.

CBT may be conducted individually or with a group of people who have similar problems. Group therapy is particularly effective for social anxiety disorder. Often “homework” is assigned for participants to complete between sessions.

Self-Help or Support Groups

Some people with anxiety disorders might benefit from joining a self-help or support group and sharing their problems and achievements with others. Internet chat rooms might also be useful, but any advice received over the Internet should be used with caution, as Internet acquaintances have usually never seen each other and false identities are common. Talking with a trusted friend or member of the clergy can also provide support, but it is not necessarily a sufficient alternative to care from an expert clinician.

Stress-Management Techniques

Stress management techniques and meditation can help people with anxiety disorders calm themselves and may enhance the effects of therapy. While there is evidence that aerobic exercise has a calming effect, the quality of the studies is not strong enough to support its use as treatment. Since caffeine, certain illicit drugs, and even some over-the-counter cold medications can aggravate the symptoms of anxiety disorders, avoiding them should be considered. Check with your physician or pharmacist before taking any additional medications.

The family can be important in the recovery of a person with an anxiety disorder. Ideally, the family should be supportive but not help perpetuate their loved one’s symptoms.

Medication

Medication does not cure anxiety disorders but often relieves symptoms. Medication can only be prescribed by a medical doctor (such as a psychiatrist or a primary care provider), but a few states allow psychologists to prescribe psychiatric medications.

Medications are sometimes used as the initial treatment of an anxiety disorder, or are used only if there is insufficient response to a course of psychotherapy. In research studies, it is common for patients treated with a combination of psychotherapy and medication to have better outcomes than those treated with only one or the other.

The most common classes of medications used to combat anxiety disorders are antidepressants, anti-anxiety drugs, and beta-blockers (visit Mental Health Medications). Be aware that some medications are effective only if they are taken regularly and that symptoms may recur if the medication is stopped.

Antidepressants

Antidepressants are used to treat depression, but they also are helpful for treating anxiety disorders. They take several weeks to start working and may cause side effects such as headache, nausea, or difficulty sleeping. The side effects are usually not a problem for most people, especially if the dose starts off low and is increased slowly over time.

Please Note: Although antidepressants are safe and effective for many people, they may be risky for children, teens, and young adults. A “black box” warning—the most serious type of warning that a prescription can carry—has been added to the labels of antidepressants. The labels now warn that antidepressants may cause some people to have suicidal thoughts or make suicide attempts. For this reason, anyone taking an antidepressant should be monitored closely, especially when they first start taking the medication.

Anti-Anxiety Medications

Anti-anxiety medications help reduce the symptoms of anxiety, panic attacks, or extreme fear and worry. The most common anti-anxiety medications are called benzodiazepines. Benzodiazepines are first-line treatments for generalized anxiety disorder. With panic disorder or social phobia (social anxiety disorder), benzodiazepines are usually second-line treatments, behind antidepressants.

Beta-Blockers

Beta-blockers, such as propranolol and atenolol, are also helpful in the treatment of the physical symptoms of anxiety, especially social anxiety. Physicians prescribe them to control rapid heartbeat, shaking, trembling, and blushing in anxious situations.

Choosing the right medication, medication dose, and treatment plan should be based on a person’s needs and medical situation, and done under an expert’s care. Only an expert clinician can help you decide whether the medication’s ability to help is worth the risk of a side effect. Your doctor may try several medicines before finding the right one.

You and your doctor should discuss:

  • How well medications are working or might work to improve your symptoms
  • Benefits and side effects of each medication
  • Risk for serious side effects based on your medical history
  • The likelihood of the medications requiring lifestyle changes
  • Costs of each medication
  • Other alternative therapies, medications, vitamins, and supplements you are taking and how these may affect your treatment
  • How the medication should be stopped. Some drugs can’t be stopped abruptly but must be tapered off slowly under a doctor’s supervision.

For more information, please visit Medications Health Topic webpagedeveloped by the National Institute of Mental Health (NIMH). Please note that any information on this website regarding medications is provided for educational purposes only and may be outdated. Information about medications changes frequently. Please visit the U.S. Food and Drug Administration (FDA) website  for the latest information on warnings, patient medication guides, or newly approved medications.

Join a Study

Clinical trials are research studies that look at new ways to prevent, detect, or treat diseases and conditions, including anxiety disorders. During clinical trials, treatments might be new drugs or new combinations of drugs, new surgical procedures or devices, or new ways to use existing treatments. The goal of clinical trials is to determine if a new test or treatment works and is safe. Although individual participants may benefit from being part of a clinical trial, participants should be aware that the primary purpose of a clinical trial is to gain new scientific knowledge so that others may be better helped in the future.

Please Note: Decisions whether to apply for a clinical trial and which ones are best suited for a given individual are best made in collaboration with your licensed health professional.

Clinical Trials at NIMH/NIH

Scientists at the NIH campus conduct research on numerous areas of study, including cognition, genetics, epidemiology, and psychiatry. The studies take place at the National Institute of Health’s (NIH) Clinical Center in Bethesda, Maryland, and require regular visits. After the initial phone interview, you will come to an appointment at the clinic and meet with a clinician. Visit the NIMH Clinical Trials — Participants or Join a Study for more information.

How Do I Find a Clinical Trial Near Me?

To find a clinical trial near you, you can visit ClinicalTrials.gov . This is a searchable registry and results database of federally and privately supported clinical trials conducted in the United States and around the world. ClinicalTrials.gov gives you information about a trial’s purpose, who may participate, locations, and phone numbers for more details. This information should be used in conjunction with advice from health professionals.

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Express Gratitude

There are multiple ways to practice the strategy of gratitude and it would be wise to choose what works best for you.  When the strategy loses its freshness or meaningfulness, don’t hesitate to make a change in how, when, and how often you express yourself.

journal

If you learned that gratitude is one of the happiness activities that fit you best, you already have a leg up – that is, you’re already motivated and willing to put in the effort and commitment it takes to become more grateful.  How exactly you accomplish this is up to you; what’s needed is simply to select at least one activity from the array of possibilities below.

Gratitude journal.  If you enjoy writing, if you are good at it, or it feels natural to you, then a promising way to practice this strategy is with a gratitude journal – much like that used by my gratitude intervention participants.  Choose a time of day when you have several minutes to step outside your life and to reflect.  It may be first thing in the morning, or during lunch, or while commuting, or before bedtime.  Ponder the three to five things for which you are currently grateful, from the mundane (your dryer is fixed, your flowers are finally in bloom, your husband remembered to stop by the store) to the magnificent (your child’s first steps, the beauty of the sky at night).  One way to do this is to focus on all the things that you know to be true – for example, something you’re good at, what you like about where you live, goals you have achieved, and your advantages and opportunities.   Don’t forget specific individuals who care for you, have made contributions to or sacrifices for you, or somehow touch your life.  The results of my laboratory’s gratitude intervention suggested that on average, doing this once a week is most likely to boost happiness, and that’s my recommendation to the majority of people.  However, on average means that some individuals – and those may include you – may benefit most from doing this strategy on an entirely different timetable, perhaps even daily or three times a week or twice a month.  You need to determine the ideal timing tailored to your lifestyle and disposition.  (See Chapter 10 in The How of Happiness for more about timing.)

Paths to gratitude.  The particular means by which you go about counting your blessings will depend on your individual personality, goals, and needs.  Instead of writing, some of you may choose a fixed time simply to contemplate each of your objects of gratitude and perhaps also to reflect on why you are grateful and how your life has been enriched.  Others may choose to identify just one thing each day that they usually take for granted and that ordinarily goes unappreciated.  Alternatively, some may want to acknowledge one ungrateful thought per day (e.g., “my sister forgot my birthday”) and substitute a grateful one (e.g., “she’s always been there for me”).

Friends and family can also help foster your appreciation.  One idea is to procure a gratitude partner with whom you can share your blessings list and who prompts and encourages you if you lose motivation or simply forget.  Chapter 10 describes the power and potential of social (buddy) support in greater detail.  Another idea is to introduce a visitor to the things, people, and places that you love.  Show off your comic book collection, your favorite park, or your favorite niece.  Doing this will help you see the ordinary details of your life through another person’s eyes, affording you a fresh perspective and making you appreciate them as though you were experiencing them for the very first time.

Keep the strategy fresh.  Another important recommendation is to keep the gratitude strategy fresh by varying it and not overpracticing it.  My research suggests that variety – the spice of life – is extremely important.   (Again, consult Chapter 10 to find out more.)  For example, if you count your blessings every single day – in the exact same way, in a nonvarying routine – you may become bored with the routine and may cease to extract much meaning from it.  You might instead pause to express gratitude only after particular triggers – for example, after enduring a hardship or when you are most needful of a boost.  Or you may choose to write in a journal some weeks, talk to a friend other weeks, and express gratitude through art (photography, collage, watercolor) during other weeks.  On the other hand, you may purposefully want to vary the domains of your life on which to focus – for example, alternately counting your blessings with respect to your supportive relationships or work life or past events or your physical surroundings or even to life itself.  These techniques will help make the expression of gratitude a meaningful practice, such that it continues to bolster happiness instead of hitting a plateau.

women friendship

Express gratitude directly to another.  Finally, the expression of gratitude may be particularly effective when done directly – by phone, letter, or face-to-face – to another person.  If there’s someone in particular whom you owe a debt of gratitude, express your appreciation in concrete terms.  Perhaps it’s your mom, favorite uncle, or old friend; perhaps it’s an old coach, teacher, or supervisor.  Write him or her a letter now and, if possible, visit and read the letter out loud in person, on either a special day (birthday, anniversary, or holiday) or a random one.  Describe in detail what he or she did for you and exactly how it affected your life; mention how you often remember his or her efforts.  Some people find it uplifting to write gratitude letters to individuals whom they don’t know personally but who have influenced their lives (such as authors or politicians) or made their lives easier (such as their postal carriers or bus drivers).

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Bipolar Disorder Versus Major Depression And Premenstrual Dysphoric Disorder

Bipolar Disorder versus Unipolar Depression

Unipolar depression (or Major Deperssion, or Major Depressive Disorderis like bipolar depression without the mania. It consists purely of major depression’s depressive episodes without mixed or manic episodes to break things up. In contrast to bipolar mood cycling, a person with major depression does not swing out of the low energy depressive state but rather remains there until the disorder has run its course. Unipolar depression may strike one time, or it may reoccur repeatedly as a series of episodes.

Although there is some debate about whether unipolar depression is a form of bipolar disorder, the evidence currently seems to support the idea that there are two distinct but related mental illnesses at work. Firstly, unipolar depression (lifetime prevalence being approximately 5%) occurs more commonly than bipolar disorder (lifetime prevalence of approximately 1%). Also, more women are affected by unipolar depression than by bipolar disorder. Furthermore, bipolar disorder has an onset at a younger age on average, and shorter intervals between episodes once it is established, thus producing more episodes during a lifetime. In addition, treatment for unipolar depression differs from that of bipolar disorders. Unipolar depression can be treated with antidepressants alone, whereas bipolar disorder treatment requires the use of mood stabilizing drugs (which are different than antidepressant drugs). Antidepressant drugs are used to treat bipolar disorder, but generally in conjunction with mood stabilizers and not alone.

Bipolar Disorder versus Premenstrual Dysphoric Disorder

Another disorder that can be confused with bipolar disorder symptoms is Premenstrual Dysphoric Disorder (PMDD), which in the past was known as Late Luteal Phase Dysphoric Disorder. PMDD is a female-only mental health disorder characterized by serious premenstrual distress, and associated deterioration of social and emotional functioning. Women with PMDD experience a labile (changeable)mood disorder which may manifest in the form of anxiety, depression, irritability or anger, beginning approximately one week before menstruation. The difference between PMDD and regular old premenstrual symptoms (e.g., PMS) is largely a matter of severity rather than kind. PMDD symptoms are severe enough that they interfere with occupational and social functioning. For example, women who routinely must take a few days off from school or work before they get their period may have PMDD. Typically, symptoms subside a few days after the onset of menses.

Although PMDD and bipolar disorder are both associated with labile and rather extreme mood states, the two problems can be differentiated based on the rather tight synchronization of PMDD mood swings with the menstrual cycle. In contrast, the mood swings associated with bipolar disorder are not tightly linked to any regular body cycle.

Because physiological (body) illnesses, substance abuse, and other mental disorders can mimic bipolar mood symptoms, it is important that any clinician attempting to diagnose bipolar affective disorder be careful to rule out alternative causes for observed symptoms. A definitive diagnosis of bipolar disorder can only be made after a patient has been medically screened and cleared for other medical conditions which might contradict bipolar disorder diagnosis, has been sober for a long enough time for any suspected substances that might influence mood to have cleared the body, and is known not to have other mental disorders which would contradict bipolar disorder. This process takes some time to complete. Though a provisional diagnosis may be made rather quickly, so as to facilitate rapid treatment, it is common for doctors to hold off making a final and definitive bipolar disorder diagnosis until they have had time to observe a patient over a period of several months, and conduct a review of any past hospitalizations and treatments which may have occurred

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Breaking bad habits

Your net worth to the world is usually determined by what remains after your bad habits are subtracted from your good ones.– Benjamin Franklin, American inventor and politician

Do you have any habits that could harm your work or career? Maybe you check your email when you’re in meetings, turn up late to client visits, or take personal phone calls when you’re supposed to be focusing on your work. You might even let habits like watching too much television or excessive Internet surfing stop you working on learning goals in the evenings and at weekends.

Bad habits like these can damage reputations and limit what’s possible in our lives and careers, so it’s important that we learn how to deal with them.

In this article, we’ll look at bad habits in more detail: we’ll explore why certain behaviors become habits in the first place, and we’ll show you how you can overcome them.

Habits Defined

A habit is an acquired behavior or thought pattern that you have repeated so many times that it has become almost unconscious. As you likely already know, habits can be both helpful and harmful.

Habits are beneficial because they’re automatic. We engage in habits without thinking, which frees our brains up to focus on other things. When we have good habits, like arriving at work on time or being optimistic, we create a positive, ingrained forward motion that we don’t have to think about. We can then use our energy to focus on things that need our special attention.

However, the same is true of bad habits. We engage in these behaviors without much thought, and they can damage our personal lives and careers without us being aware of them.

There are many bad habits that can negatively affect us in our careers. Here are some examples:

Note:

Remember that whether or not a habit is a “bad” habit depends on the context. For example, perfectionism can be a good habit in jobs where safety is important.

Why Bad Habits are Hard to Break

The main reason that bad habits are hard to break is down to what researchers call our “cognitive script” – these are the unconscious, automatic thoughts that we have when we encounter a situation.

These unconscious thoughts are based on previous experiences. So, if the situation is one that we’ve encountered many times before, we engage in ingrained behaviors without thinking about what we’re doing. Our actions have become habitual.

Much of the time, bad habits are also hard to break simply because they begin as enjoyable activities, which we want to repeat. (For example, we might enjoy surfing the net instead of working, or sending emails from our smartphones during meetings.)

This is because, when we do pleasurable things, our brains release dopamine, a chemical that activates the brain’s reward center. This encourages us to do those things again, and the activity becomes a habit.

Strategies for Overcoming Bad Habits

You can break bad habits and, in some cases, replace them with positive behaviors. Unfortunately this takes time; research shows that, on average, you’ll need to engage in an alternative behavior or thought pattern consistently for an average of 66 days for it to become a habit. (This can vary from 18 to 254 days, depending on the behavior and the person.)

This can seem overwhelming. But stop and think about the last time you kicked a bad habit for good. It felt great, didn’t it? Remember, your bad habit could be damaging your reputation and career, and it’s well worth putting in time and effort in to overcome it.

Keep in mind that there isn’t a “one size fits all” approach to bad habits. You’ll likely need a combination of strategies to be successful!

Use the strategies below to overcome your habits.

Create a Plan

Studies show that having a conscious plan helps you get started with overcoming bad habits. You can’t just say “I’m going to stop wasting time surfing the Internet” and expect to succeed. You have to come up with a concrete plan to make this happen.

A good way to do this is to incorporate habit-breaking into your personal goals . This helps you ensure that you review your progress on a regular basis, and work on your most damaging habits first.

Once you’ve come up with a plan, add prompts and milestones into your To-Do List orAction Program as a reminder of what you want to achieve.

Develop Self-Discipline and Self-Awareness

Studies have also found that constant self-vigilance is necessary to break a bad habit. This means watching yourself for slip-ups, and reminding yourself why you want to break the habit in the first place.

To do this, work on your self-discipline and willpower, so that you can develop the persistence and motivation you need in order to stop the behavior.

Also build self-awareness to stay aware of how you are thinking and feeling. (Self-awareness is also key to recognizing your bad habits in the first place.)

Tip 1:

You can find out more about using willpower in our article on Self-Mastery .

Tip 2:

For many of us, self-discipline and willpower come in short bursts, and may be stronger when we first decide to make a change. Therefore, don’t rely on these approaches alone to break your bad habits.

Choose the Right Approach

Some people find it effective to quit a behavior all at once, while others have more success limiting the behavior slowly over time. As such, it’s important to find an approach that works well for you. (This will probably depend on the type of habit you’re trying to break.)

To use the Internet example, instead of going “cold turkey,” you could limit yourself to five minutes of surfing every hour. Then at weekly intervals, you could cut this down to five minutes every two hours, five minutes every three hours, and so on.

Put Obstacles in Place

In his 2010 book, “The Happiness Advantage,” positive psychologist Shawn Achor says that you can break bad habits by putting obstacles in place that stop you from carrying out the behavior.

For example, if one of your bad habits is to check Twitter when you should be working, you could disconnect from the Internet by using software applications such as Freedom andAnti-Social to block access to it; or move desks, so that people who are passing can see your computer screen.

You also need to avoid the people, places, or situations that trigger the bad habit, if this is appropriate.

For instance, imagine that you’re trying to stop gossiping at work. You know that you engage in the behavior during lunch with a specific group of colleagues, so you resolve to avoid the break room, and, instead, eat lunch outside or at your desk.

Engage in Positive Behaviors

Often, you can break bad habits by replacing them with positive behaviors.

For example, let’s say that you want to stop criticizing team members. One way to avoid this would be to make a conscious effort to praise people instead.

Or, imagine that your goal is to stop checking your email in sales meetings. You could replace this by taking detailed notes on what’s being discussed, or by offering to chair the meeting.

Reward Yourself

To break a bad habit, it’s helpful to reward yourself for engaging in the positive behavior.

The reason rewards are important is because when you stop the old behavior you won’t get that all-important dopamine surge; however, the reward will give it instead. Over time, your brain will start to associate this new, positive behavior with the dopamine surge coming from the reward.

How you reward yourself is up to you, but make sure that it’s something that you truly want and will enjoy. For example, if you’re trying to stop being late, your reward for arriving at work on time could be a gourmet coffee. Then, after a week of arriving on time, you could treat yourself to brunch at your favorite café.

Rewards will do the most good if you give them instantly or on the same day that you demonstrate the “good” behavior. You’ll likely only need the rewards you set for yourself for a few weeks; once you’ve established the positive behavior, you won’t need to reward yourself as often.

Involve Others

Finally, consider asking people such as your colleagues, family members, and friends to help you break your bad habits.

Share your goals with them, and ask them to tell you if you slip back into your old ways. This will provide further accountability, and boost your motivation.

Infographic

Click on the thumbnail image below to see our infographic based on this article:

breaking-bad-habits-infographic

Key Points

A habit is any behavior or thought pattern that you have repeated so often that it becomes automatic.

Some habits are positive and can help you achieve success in your life and career. However, bad habits can severely limit what you accomplish.

To break a bad habit, first commit to stopping the behavior by creating a plan, and develop self-discipline and self-awareness so that you can stay on track.

Also, choose the right approach for dealing with it, reward yourself when you do well, and involve others in your efforts.

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Anger management: Your questions answered

Anger itself isn’t a problem — it’s how you handle it. Consider the nature of anger, as well as how to manage anger and what to do when you’re confronted by someone whose anger is out of control.

What is anger?

Anger is a natural response to perceived threats. It causes your body to release adrenaline, your muscles to tighten, and your heart rate and blood pressure to increase. Your senses might feel more acute and your face and hands flushed.

However, anger becomes a problem only when you don’t manage it in a healthy way.

So it’s not ‘bad’ to feel angry?

Being angry isn’t always a bad thing. Being angry can help you share your concerns. It can prevent others from walking all over you. It can motivate you to do something positive. The key is managing your anger in a healthy way.

What causes people to get angry?

There are many common triggers for anger, such as losing your patience, feeling as if your opinion or efforts aren’t appreciated, and injustice. Other causes of anger include memories of traumatic or enraging events and worrying about personal problems.

You also have unique anger triggers, based on what you were taught to expect from yourself, others and the world around you. Your personal history feeds your reactions to anger, too. For example, if you weren’t taught how to express anger appropriately, your frustrations might simmer and make you miserable, or build up until you explode in an angry outburst.

In other cases, changes in brain chemistry or underlying medical conditions can contribute to angry outbursts.

What’s the best way to handle anger?

When you’re angry, you can deal with your feelings through:

  • Expression. This is the act of conveying your anger. Expression ranges from a reasonable, rational discussion to a violent outburst.
  • Suppression. This is an attempt to hold in your anger and possibly convert it into more constructive behavior. Suppressing anger, however, can cause you to turn your anger inward on yourself or express your anger through passive-aggressive behavior.
  • Calming down. This is when you control your outward behavior and your internal responses by calming yourself and letting your feelings subside.

Ideally, you’ll choose constructive expression — stating your concerns and needs clearly and directly, without hurting others or trying to control them.

Can anger harm your health?

Some research suggests that inappropriately expressing anger — such as keeping anger pent up — can be harmful to your health. Such responses might aggravate chronic pain or lead to sleep difficulties or digestive problems. There’s even some evidence that anger and hostility is linked with heart disease.

When is professional help needed?

Learning to control anger is a challenge for everyone at times. Consider seeking help for anger issues if your anger seems out of control, causes you to do things you regret, hurts those around you or is taking a toll on your personal relationships.

Last updated: April 13th, 2014

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Mental health: What’s normal, what’s not

What’s the difference between mental health and mental illness? Sometimes the answer is clear, but often the distinction between mental health and mental illness isn’t so obvious. For example, if you’re afraid of giving a speech in public, does it mean you have a mental health condition or a run-of-the-mill case of nerves? Or, when does shyness become a case of social phobia?

Here’s help understanding how mental health conditions are identified.

Why is it so tough to tell what’s normal?

It’s often difficult to distinguish normal mental health from mental illness because there’s no easy test to show if something’s wrong. Also, primary mental health conditions can be mimicked by physical disorders. Mental health conditions are judged not to be due to a physical disorder and are diagnosed and treated based on signs and symptoms, as well as on how much the condition affects your daily life. Signs and symptoms can affect your:

  • Behavior. Obsessive hand-washing or drinking too much alcohol might be signs of a mental health condition.
  • Feelings. Sometimes a mental health condition is characterized by a deep or ongoing sadness, euphoria or anger.
  • Thinking. Delusions — fixed beliefs that are not changeable in light of conflicting evidence — or thoughts of suicide might be symptoms of a mental health condition.

What is the Diagnostic and Statistical Manual of Mental Disorders (DSM)?

The Diagnostic and Statistical Manual of Mental Disorders (DSM) is a guide published by the American Psychiatric Association that explains the signs and symptoms of several hundred mental health conditions.

Mental health providers use the DSM to diagnose everything from anorexia to voyeurism and, if necessary, determine appropriate treatment. Health insurance companies also use the DSM to determine coverage and benefits and to reimburse mental health providers.

How do mental health providers diagnose mental health conditions?

To determine if you have a mental health condition, a mental health provider will work with you and your loved ones to assess:

  • Your symptoms. Your mental health provider will ask about your symptoms, when they began and how they’ve affected your life. How you perceive your thoughts and behaviors and how much your signs and symptoms affect your daily activities can help determine what’s normal for you. For instance, you might realize that you aren’t coping well or that you don’t want to do the things you used to enjoy. You might feel sad, hopeless or discouraged. If your sadness has a specific cause, such as divorce, your feelings could be a normal, temporary reaction. However, if you have symptoms that are severe or don’t go away, you could have depression. You might also need to have a physical exam to rule out any underlying health conditions.
  • Others’ perceptions. Your perceptions alone might not give you an accurate picture of your behavior, thoughts or ability to function. Other people in your life can help you understand whether your behavior is normal or healthy. For example, if you have bipolar disorder, you might think your mood swings are just part of the normal ups and downs of life. Your thoughts and actions, however, might appear abnormal to others or cause problems at work, in relationships or in other areas of your life.

When is an evaluation or treatment needed?

Each mental health condition has its own set of signs and symptoms. In general, however, professional help may be warranted if you or a loved one experiences:

  • Marked change in personality, eating or sleeping patterns
  • Inability to cope with problems or daily activities
  • Strange or grandiose ideas
  • Excessive anxiety
  • Prolonged depression or apathy
  • Thinking or talking about suicide
  • Substance abuse
  • Extreme mood swings or excessive anger, hostility or violent behavior

Many people who have mental health conditions consider their signs and symptoms a normal part of life or avoid treatment out of shame or fear. If you’re concerned about your mental health or a loved one’s mental health, don’t hesitate to seek advice.

Consult your family doctor, make an appointment with a counselor or psychologist, or encourage your loved one to seek help. With appropriate support, you can identify mental health conditions and explore treatment options, such as medications or counseling.

Last updated: July 20th, 2013

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Silence

It’s a beautiful day and I’m inside. Scared.

I don’t know how to get out of this repetition.

I don’t know how to get out on my own.

I drag myself down, down, down.

Catch me I scream in silence.

I want to get out but I don’t feel like myself.

A body, an image have imprisoned me.

I don’t know how to speak

I don’t know how to behave

I’m scared of the evil

But at times it makes me smile

Catch me I scream in silence.

 

JmaC

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Quotes Religion

Each one is responsible for everything and everyone. (Ibid.)

The past is not our potential. At any hour, with all the stubborn teachers and healers of history who called us to our best selves, we can liberate the future. One by one we can re-choose – to awaken. To leave the prison of our conditioning. To love. To turn homeward. (Marilyn Ferguson, The Aquarian Conspiracy, which became one of the key books of The New Age in the late seventies.)

He who has killed a man who has committed neither crime nor sin on earth, he has killed all of humanity. He who has saved the life of one man has saved the life of humanity. (The Coran, El Madia, 32)

No one made a greater mistake than he who did nothing because he could only do a little. (Edmund Burke)

The world will belong to he who offers it the greatest hope. (Teilhard de Chardin)

To reach divine consciousness, we must want it more than our own breath (David Luce)

All human failures are the result of a lack of love (Alfred Adler, one of the great psychologists of the early 20th century)

To risk is to lose your footing for a while, not to risk is to lose your life. (Soeren Kierkegaard, 19th century Danish philosopher)

No one knows enough to be a pessimist (Wayne Dyer)

The winds of grace are always blowing, but it is for you to hoist the sail (Ramakrishna)

Never give up, never, never,never… If you are going through hell, keep going. (Winston Churchill)

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