Category: Anxiety

Categories
Adolescence Anxiety Mental Health Stress

Living With Anxiety

Life can be challenging enough without being affected by something that throws off your emotions, disrupts time with friends and everything about your internal universe. Living with anxiety is one of those conditions that affects nearly 18% of the population; that’s a large percentage that deals with acute stress from anxiety on a daily basis. It may not seem that serious to people who never experienced it before, but for those of us that have it, anxiety can change everything.

Understanding Anxiety

Think about that 18%, and think about who is a part of that number—your friends, daughters, sons, mothers, brothers, wives, boyfriends, sisters, etc. To understand what people living with this disorder go through it’s a good idea to know what anxiety is, so that when they experience an event you can be there for support. Anxiety is a stress-related disorder that is considered a mental health condition caused by intense feelings of worry and fear about a variety of things like health related concerns, social situations and more.

One small thing like a pain in your left arm, to someone with acute anxiety, can feel like a heart attack when it’s just a nerve. These little things escalate quickly because our minds, and in that moment, it’s all real. Can you imagine feeling like that all of the time? People that live with anxiety, often don’t have any idea when an event will happen or what the intensity of the event will be. So you can imagine how difficult it is to prepare for, constantly in a state of worry about a future anxiety or panic attack.

We say the event because they are considered disrupting to our daily activities and can make it difficult to engage in anything else other than what’s happening in our heads. Some people will experience similar symptoms that tell them an episode is coming that allows them to be prepared for the experience; others have no idea or are not entirely sure what they’re experiencing until it’s happened enough times to see a physician and be correctly diagnosed.

Common symptoms of an anxiety attack:

  • Shortness of breath
  • Increased heart rate
  • Sweating
  • Numbness
  • Tingling in the hands and feet
  • Clammy palms and sweating
  • Irritation
  • Restlessness
  • Racing thoughts
  • Nausea

Anxiety is Managed, Not Cured

The problem with anxiety is that the feeling of nervousness and paranoia cannot be avoided, you just learn to work through them or manage them differently. Unfortunately, those with anxiety have to experience an attack multiple times before they understand something is wrong. Medications have been used to tone down symptoms or calm the mind, but counseling is the best method and to figure out what works best for you when you experience an attack. There is no cure, but it’s manageable.

Famous People Suffering from Anxiety

Whether you realize it or not, many famous people suffer from anxiety every day. These celebrities deal with bouts of nervous feelings and fear as they’re performing, presenting or walking around the city. Some of the names you may be familiar with are Emma Stone, Kristen Stewart, Adele, John Mayer, Johnny Depp and Charlize Theron! These people are A-lister’s and are in the public eye every day, no matter what they’re doing. It is possible to live with anxiety and do amazing things, but it takes strength and mindfulness to know yourself and how you react. Be inspired to share your story!

At Visions Adolescent Treatment Centers, our clients come to us with a variety of preexisting conditions in addition to their addiction, and we’re here for them every step of the way. Call Visions today to learn more about our addiction recovery and dual diagnosis programs at (866)889-3665.

Originally posted on July 15, 2016 @ 11:08 am

Categories
Addiction Anxiety Depression Mental Health Social Anxiety Stress

More College Students Struggle with Mental Illness


The number of college students seeking help for mental illness is on the rise, according to a recent report in the Wall Street Journal. As campuses scramble to provide sufficient services for these students, some students are seeing increases in tuition rates to cover the cost. Despite the spending increases, many schools are still lacking the number of support staff needed based on the size of the campus to handle the students in need. More concerning is the fact that one-third of all schools do not have a psychiatrist on staff at all.

Reports of mental illness on college campuses has been increasing over the last two decades. “The American Freshman” 2014 survey by UCLA’s Higher Education Research Institute found that in 1994, nine percent of college students were taking a prescription drug for a mental illness. By 2014, that number had increased to 26 percent. Nearly 10 percent of freshmen in 2014 said they felt depressed “frequently,” compared to 6.1 percent in 2009.

Type of Mental Illnesses

The two most common types of mental illnesses seen among college students are anxiety and depression. According to a 2013 report from the American Psychological Association, 41.6 percent of students seeking support for their mental disorder had symptoms of anxiety, while 36.4 percent reported symptoms of depression. Relationship issues, which are commonly associated with the college years, made up 35.8 percent of concerns.

A 2011 National College Health Assessment (NCHA) survey found that nearly 30 percent of college students reported feeling “so depressed they were unable to function.” Of that number, 6.6 percent admitted to seriously contemplating suicide at least once during the past year. The American Psychiatric Association found that half of all college students reported feeling overwhelming anxiety during the same time frame.

Mental Illness and Addiction

Addressing mental illness on college campuses is a significant concern, considering many students dealing with mental disorders may also struggle with substance abuse or addiction. According to the Center for College Health and Safety, 20 percent of students that use drugs or alcohol are also likely to experience depression at the same time. Students that use substances are also four times more likely to have a diagnosis of a disruptive behavior disorder. The statistics suggest that addressing mental illness could also have a positive impact on substance use on some campuses.

Substance abuse and addiction are serious problems that are often accompanied by mental illness. At Visions Adolescent Treatment Centers, we specialize in treating the combination of addiction and mental illness, known as a co-occurring disorder. We can help individuals address both of these issues simultaneously to improve their odds of sobriety and a higher quality of life overall. To learn more about our programs, contact Visions Adolescent Treatment Centers at 866-889-3665.

Originally posted on June 23, 2015 @ 5:11 pm

Categories
Anxiety Mental Health Recovery

Anxiety Doesn’t Have to Rule Your Life

Did you know that 8% of teens between the ages of 13–18 have an anxiety disorder? And did you also know that of these teens, only 18% of them receive mental-health care?

 

Some anxiety is a function of being a human being. It’s not unusual for anxiety to present itself in predictable situations (going on a job interview, starting a new school, speaking up for ourselves), but for most, it fades as soon as the initial fear passes. Anxiety is our nervous system’s way of telling us we are overwhelmed and need to pause. Anxiety is also our sympathetic nervous system’s fight-or-flight response in action; the anxiety is the red flag letting us know we are emotionally under fire. If you don’t suffer from an anxiety disorder, chances are your parasympathetic nervous system will automatically engage, arresting the fight or flight response and engaging its remarkable rest-and-digest function. However, for someone who suffers from an anxiety disorder, the sympathetic nervous system gets stuck in the “on” position, forcing it to stay in its fight-or-flight response longer than is emotionally sustainable.  The parasympathetic nervous system, aka, the rest-and-digest function of our bodies, gets shoved to the side and is unable to do its job.

How is anxiety usually treated?

 

Medication is one option typically given to anxiety sufferers. It is not a cure, but rather a means of managing the symptoms.  Often patients are given:

 

Antidepressants

  • SSRIs, Tricyclics, MAOIs, anti-anxiety medications
  • Anti-anxiety drugs:
    • Benzodiazepines
    • Beta-blockers – which treat the physical symptoms of anxiety

 

Clinicians, on the other hand, use therapeutic modalities like:

 

  • Cognitive Behavioral Therapy (CBT)
  • Dialectical Behavioral Therapy (DBT)
  • Exposure Based Behavioral Therapy
  • EMDR
  • Mindfulness Based Stress Reduction

 

In addition to treatment, you can also try any one of all of these tools to help manage anxiety:

 

1: Mindful breathing: Practice exhaling on a longer count than your inhale. This is a wonderful tool to use to bring the heart rate down, provide oxygen to the blood and to the lungs, and also engage the parasympathetic nervous system.

 

2: Visualization: Close your eyes and visualize a place that elicits a state of calm. It could be the beach, the mountains, a forest, being in the ocean, or doing something else that you love. This is a way of accessing one of your resources—something that calms you and engages your body’s nervous system.

 

3: Get active: Studies show that exercising every day will increase relaxation, reduce stress, and make you happier. Go endorphins! So, go to the gym, go for a run, do a strong yoga class, do some jumping jacks, skateboard, or roller skate.

 

4: Create a gratitude journal or a gratitude list.  Write down 5 things you are grateful for and challenge yourself to write this list every single day. There’s been a recent Facebook chain going around, asking people to post three things a day for seven days that they’re grateful for and then tag three more people each day to do the same. It’s been a neat phenomenon to watch people share their gratitude.

 

5:  Focus on a meaningful, goal orienting activity: playing a game with a friend, building something, creating art, or singing.

 

6: Accept that you are anxious. Accepting how you feel doesn’t mean you like it or are choosing to be anxious; it means accepting how things are in the present moment. If we obsess about how anxious we feel, our anxiety will increase. Ajhan Sumedo, a Buddhist monk, says, “Right now, it’s like this.” This phrase encourages acceptance and allows us to stay in the present. When we are anxious, we are stuck in the future.

 

Ignoring our anxiety or self-medicating to relieve our suffering, leaves us vulnerable to persistent dysregulation and despair. When we address anxiety and face it head on, we cultivate the development of self-regulatory techniques. With ample clinical support (when needed), the establishment and consistent use of self-regulatory tools, and a broad support system in place, things can and will get better.

Originally posted on August 22, 2014 @ 8:58 am

Categories
Addiction Anxiety Depression Mental Health Prevention

The Dangers of DMT and Psychedelic Experimentation

DMT (Dimethyltryptamine) is a short-acting, albeit powerful psychedelic drug in the tryptamine family. Additionally, the use of Monoamine oxidase inhibitors (MAOIs), an older class of anti-depressant drugs, has been found to increase the effects of DMT.  This chemical structure of DMT has the same or similar chemical structure as the natural neurotransmitter serotonin and the hormone melatonin found in the brain.  Our bodies actually produce DMT, but science hasn’t determined its purpose thus far. It is derived from the essential amino acid tryptophan and produced by the same enzyme INMT during the body’s normal metabolism. Some researches have postulated that brain’s production of DMT may be related to the organic cause of some mental illness.

 

Adolescents are naturally curious creatures. They want to know about the world that they live in and they want to understand why it is the way it is. Developmentally this leads to a natural curiosity about the nature of the world and spiritual matters. During the 1960s, well-respected researchers looked into the potential of psychedelic drugs to treat mental illness, including depression. The ’60s generation took this as a cue to experiment with their minds. What we have learned since then is such experimentation is potentially dangerous and harmful, especially for those with a latent tendency toward depression, anxiety, schizophrenia and other forms of mental illness.

 

Psychedelic drugs have a distinct effect on brain chemistry. Some of them have chemical structures similar to natural neurotransmitters and almost all of them are classified as alkaloid. Historically, psychedelic drugs have been used by ancient cultures for spiritual practice and ceremony. And science has used psychedelic drugs for research.

 

However, psychedelics are significantly abused.

 

One of the most dangerous components of psychedelic drugs is the potential negative effect on people already vulnerable to mental illness. The user is, in effect, playing with his or her brain chemistry without direct knowledge of any short- or long-term effects these drugs may have. And someone who has an undiagnosed or untreated mental illness can adversely affect his or her mental health with the use of psychedelic drugs, or any drugs for that matter. Drugs like DMT, though old, are no different. DMT works fast, it has an intense effect that lasts for 15 minutes but purportedly feels like several hours. This can be an overwhelming experience, especially in cases of untreated or undiagnosed mental illness.

 

The bottom like is this: Experimenting with your mind is dangerous. Curious or not, this type of psychological misadventure is not worth the risk and the potential fallout.

 

Originally posted on August 20, 2014 @ 12:43 pm

Categories
Anxiety Mental Health Recovery

Does Your Teen Suffer From Anxiety?

Anxiety is a normal function of stress. It is the nervous system’s way of telling you it’s on overload and needs a break.  Scientists have discovered that the amygdala and hippocampus play a significant part in most anxiety disorders. The amydgala is the part of the brain that alerts the rest of the brain and lets it know a threat is present; this will trigger a fear or anxiety response. The job of the hippocampus is to convert threatening events into memories. Interestingly, research is showing that the hippocampus appears to be smaller in people who have suffered from child abuse or served in the military.

 

Further research will begin to provide clarifying information regarding not only the size of the hippocampus in PTSD sufferers, but also the cause of fragmented memories, deficits in explicit memories, and flashbacks.  Understanding the functionality of the brain will help scientists form more salient ways in which to provide medical relief for anxiety sufferers.

 

Fact: 8 percent of teens ages 13–18 have an anxiety disorder, with symptoms commonly emerging around age 6. However, of these teens, only 18 percent received mental health care.

 

How is anxiety usually treated?

Medication is one option typically given to anxiety sufferers. It is a cure, but rather a means of managing the symptoms.  Often patients are given:

  • >Antidepressants
    • SSRIs, Tricyclics, MAOIs, anti-anxiety medications
  • Anti-anxiety drugs:
    • Benzodiazepines
  • Beta-blockers – which treat the physical symptoms of anxiety

In addition to medication or sometimes in lieu of, therapists may use modalities like:

You can also try one or all of these 8 tools for managing anxiety:

1. Deep breathing exercises: Deep diaphragmic breath helps activate the body’s relaxation response.  Practice exhaling on a longer count than your inhale. This is a wonderful tool to use to bring the heart rate down, provide oxygen to the blood and to the lungs.

 

2. Use calming visualization: Close your eyes and visualize a place that elicits a state of calm. It could be the beach, the mountains, a forest, being in the ocean, or doing something else that you love. This is a way of accessing one of your resources—something that calms you and engages your body’s nervous system.

3. Do something physical: go to the gym, go for a run, do a strong yoga class, do some jumping jacks, skateboard, or roller skate. In other words, get your endorphins going.

4. Play a musical instrument. For example, one of our teens plays the bass when he’s anxious.  Perhaps you play the guitar, or the accordion. Get down and make some music!

5. Connect with a friend so you are not alone. Maybe watch a funny movie together or blast some music and have a silly dance party.

6. Create a gratitude journal.  Write down 5 things you are grateful for and challenge yourself to write this list every day .

7. Focus on a meaningful, goal orienting activity: playing a game with a friend, building something, creating art, or singing.

8. Accept that you are anxious – it is a feeling. It doesn’t mean you like it or want it to be there, it means you are accepting where you are in that moment. The more you talk about how anxious you are, the more anxious you will feel. Accepting where you are allows you to stay in the present–when we are anxious, we are stuck in the future.

 

Anxiety can be accepted and worked with or it can be ignored. Ignoring it leaves you vulnerable to persistent dysregulation and misery. Addressing anxiety and facing it head on allows you to develop self-regulatory techniques. The latter will facilitate emotional regulation and the ability to approach triggers and difficulties more skillfully.

Originally posted on May 30, 2014 @ 6:47 pm

Categories
Anxiety Parenting Recovery Self-Care Stress

Is Your Teen Stressed About Graduation?

It’s time for Graduation!

During graduation time, it’s not uncommon for many teens to fall under great pressure from parents and teachers to exceed in academia or to get accepted into the ideal university. Stress tends to be high at the end of the year, no matter how you spin it. Often times, stress is somaticized (converted into physical symptoms) and it shows up in the form of : stomach aches, headaches, difficulty sleeping, eating more or eating less, and even mood swings.

 

Unfortunately, some kids turn to drugs and alcohol to attempt to quell the anxiety and physical manifestations of their stress, while others may sink into depression. Under stress, our nervous systems go on the fritz, thrusting the body toward a fight/flight/freeze response. If there is no healthy outlet to discharge that stress, it manifests physically.

 

At the end of the year, when graduation looms, there’s a very real potential for an increase alcohol and drug use, anxiety, and depression. We know that adolescent substance abuse tends to rise in the summer months of June and July. According to a report recently released by the Substance Abuse and Mental Health Services Administration (SAMHSA), “approximately 11,000 adolescents use alcohol for the first time, 5,000 try their first cigarette, and 4,500 begin using marijuana” during the months of June and July. But facts aside, what can we, as parents, educators, and mental-health professionals do about it? Can you commit to this:

  • Create safe, open spaces for our kids to talk to us.
  • Create a  safe, open environment to facilitate healthy dialogue.
  • Be present for your kids, emotionally and physically.
  • Take care of your own needs and make sure your history is not spilling onto your kids’ present.

For teens already in recovery, managing that end-of-year stress around graduation is crucial:

  • Use your resources and ask for help from parents, teachers, your sponsor, mentor, or another safe adult.
  • Create prioritized lists, checking things off as you go.
  • Create a schedule.
  • Make time for self-care. Healthy physical activity is great for getting the endorphins going, a bubble bath is self-soothing, yoga or meditation will help you get grounded and settle in.
  • Take breaks. Rome wasn’t built in a day. Take short 10-minute breaks every half hour and stretch, get up, walk around. You’ll notice an increase in your productivity.
  • Hang a picture of something or someone that inspires you near your workspace.

Try and remember that graduation is something to celebrate. It’s a wonderful accomplishment and something you’ve been working toward since childhood. All of the scraped knees, tears, trophies, reports, dissections and memorization got you to this place. Celebrate it healthfully!

Originally posted on May 27, 2014 @ 8:29 pm

Categories
Anxiety Mental Health Social Anxiety

Social Anxiety: It’s Not Just Shyness

Social anxiety/social phobia is an anxiety disorder characterized by a significant fear

of social interactions and interactions with other people which bring about feelings of “self-consciousness, judgment, evaluation, and criticism”1 by those they interact with. In other words, “the extreme fear of being scrutinized and judged by others in social or performance situations.”2  What social anxiety is NOT is simple shyness, but rather a more deeply internalized anxiety disorder. Recently, the National Institute of Health analyzed data gleaned from a study done by the National Comorbidity Survey Replication Adolescent Supplement (NCS-A S), which surveyed more than 10,000 adolescents (ages 13-18). The survey involved a structured, diagnostic interview, assessing a “broad range of mental health disorders.” Those who met all eight “lifetime DSM-IV criteria for social phobia, including one or more social fears, were classified as having social phobia, regardless of shyness.”3

Results of this survey are interesting:

  • Overall, 43% of males and 51% of females rated themselves as shy, but only 12% of these youth met criteria for social phobia.
  • 5% of  youth who did not rate themselves as shy met social phobia criteria.
  • Prevalence of social phobia increased with age:
    • 6.3% of 13- 14-year-olds
    • 9.6% of 15- 16-year-olds
    • 10.4% of 17- 18-year-olds

Compared to shy adolescents, those with social phobia/social anxiety were more likely to suffer from some form of an anxiety disorder, major depressive disorder, oppositional defiant disorder, or addiction. Also notable were definitive issues with school, work, family relationships, and social interactions. Additionally, the statistics show “only 23% of adolescents with social phobia sought professional treatment for anxiety, and just 12% received psychiatric medication.” More than anything, what these results challenge is the perceived perception that social anxiety/social phobia is the “‘medicalization’ of a normal human emotion.”

To outsiders, someone stricken with social anxiety may seem particularly shy, quiet, or reserved, but to the individual suffering, the internal pull of panic-ridden thoughts is often unbearable. What’s interesting, however, is that when alone, one suffering from social anxiety is usually okay. A key factor in the behavior being more than “just shyness” is when the mere thought or suggestion of any social interaction coming into play brings about the emergence of internal panic. Those that suffer may experience “significant emotional distress”4 in these types of situations:

  • Being introduced to other people
  • Being teased or criticized
  • Being the center of attention
  • Being watched while doing something
  • Meeting people in authority (“important people”)
  • Most social encounters, particularly with strangers
  • Making “small talk” at parties
  • Going around the room in a circle and having to say something

Our friends and family members suffering silently need our support. It’s time we gave this disorder the attention it deserves so those suffering can find some solace and relief. It’s one more thing that requires us to remove the stigma so healing can begin.

1, 3: National Survey Dispels Notion That Social Anxiety is the Same as Shyness

2: Social Anxiety Disorder – ADAA

4: Social Anxiety Fact Sheet

Originally posted on December 5, 2011 @ 6:44 pm

Categories
Anxiety Body Image Eating Disorders Mental Health

Thanksgiving and Eating Disorders: A Mini Survival Guide

Image via Wikipedia

On the heels of my recent blog about fat talk and its negative ramifications, I am broaching the subject of food, anxiety, and eating disorders once again. It’s almost Thanksgiving, after all, a holiday which not only acts as a huge trigger for many suffering from or recovering from an eating disorder, but is often used as fodder for fat jokes and the subsequent fat talk. As if sitting down to dine with your already dysfunctional family isn’t enough.

As we set our gaze upon Thanksgiving and give thanks for all that we have, those suffering from an eating disorder may be having an entirely different experience. For one thing, the entire day is purportedly built upon the foundation of food; one is expected to eat…a lot.  With an eating disorder, those expectations can bring about a legitimate sense of fear, shame and anxiety. For example, an anorexic may be overly concerned with the appearance that he or she is not only eating, but enjoying a “normal” amount of food, while someone suffering from bulimia or binge-eating disorder may struggle with trying to manage their urges to binge and/or purge.  For both, there are triggers everywhere, from the wide array of food being offered to someone’s not-so-subtle commentary about your, or even their, current weight, shape, size, et cetera.

Eating disorders and disordered eating are complex conditions, emerging from a combination of behavioral, biological, psychological, emotional, interpersonal and social factors. For many, food becomes the one thing that is controllable, giving someone who feels inherent powerlessness some perceived power. My own experience is just that: I grew up in an out-of-control, dysfunctional environment, where food was used as a vehicle for mixed messages; controlling its intake became paramount to my own survival. Or at least I thought it did. What it really ended up doing was leaving an indelible mark of low self-esteem and body dysmorphia. I still occasionally encounter negative behaviors from some family members when I see them, but now I view it as an opportunity to stand up in the face of adversity, plant my feet in my recovery, and dine with dignity. See here for NEDA’s “Factors that may Contribute to Eating Disorders.”

Some things to think about for the holidays:

Get support: either via a therapist, a sponsor, or a good friend. Make sure that you have someone you can lean on during this holiday season. You don’t have to manage Thanksgiving alone.

Make a plan: I always make sure I have what I call an “escape” plan for these sorts of things. In other words, make yourself a schedule so you don’t have to wing it.

Don’t skip meals in “preparation” for the holiday: Maintain your regular eating schedule that’s become a part of your recovery. For example, don’t skip breakfast so you can “have room” for the Thanksgiving meal.

Ignore and don’t engage in the fat talk: It’s neither an act of self-care or helpful. If someone is engaging in this age-old, negative behavior: walk away or disengage. Other people’s issues surrounding food are not yours to manage.

Be kind to yourself: If you fall down and slip into old behavior, don’t use it as a springboard to self-destruction. Allow yourself to enjoy the things you like. I find that knowing my triggers allows me to navigate the stormy sea of family and impulse with better judgment. You can do this!

Breathe: Yes, that’s right. Breathe. If you’re feeling overwhelmed, take a step back and take 10 deep breaths and find your center. This really does help. (This is also the other reason bathrooms exist!)

Lastly, remember what Thanksgiving is really about: It’s not about the food. Not really. It’s about being grateful for those around you and for the blessings in your life. Bask in the glory of your recovery and sobriety, for without those, the least of your worries would be whether or not you can eat a piece of pumpkin pie!

Resources and articles used as reference:
NEDA
Voice In Recovery
https://www.huffingtonpost.com/sunny-gold/thanksgiving-with-an-eati_b_788298.html
https://eatingdisorderstreatment.com/holiday-eating/
https://www.healthyfutures.ws/holidaytips.htm

Originally posted on November 16, 2011 @ 3:27 am

Categories
Anxiety Depression Mental Health Self-Harm Stress Suicide

New study: Self-harm in Teens

Image via Wikipedia

Even as someone in recovery from self-harming behavior, the statistics regarding who and how many continue to self-harm still hits home. A recent study by Dr. Paul Moran at the Institute of Psychiatry at King’s College at the Murdoch Children’s Research Institute, Melbourne, found that “1 in 12 young people self-harm as adolescents, with the balance skewed toward girls.” Moran’s study followed a group of “young people from Victoria, Australia, from adolescence (14-15 years old) to young adulthood (28-29 years old) between 1992 and 2008.” According to the study, out of the 1802 participants responding to the adolescent phase, 149 (8%) reported self-harm. More girls (10%) than boys (6%) reported self-harm, which translates to a 60% increased risk of self-harm for girls compared to boys.1 Self-cutting/burning was the most common type of self-harming behavior seen in adolescents, but other forms of self-harm include self-battery, poisoning and overdose. Additional findings in Dr. Moran’s study show that self-harm was also associated with “antisocial behavior, high-risk alcohol use, cannabis use, and cigarette smoking,” but that “most adolescent self-harming behavior resolves itself spontaneously.”

Self-harming behaviors are often symptomatic of anxiety and depression, acting as a salve to those otherwise unable to feel or process their feelings in a more skillful way. It is, in many ways, an effort by the one self-harming to regulate their mood and can also act as a kind of emotional steam valve for difficult emotions or even as a means of self–punishment. Regardless, self-harming behaviors indicate mental-health issues that do need to be addressed. No one self-harms out of pride or because they’re happy about something. The truth is, there is a lot of shame associated with self-injurious behaviors.

Still, there continues to be a high risk for suicide completion in those who have a history of self-harming, particularly those who continue to do it into adulthood. When addressing this, we must remember that it’s not usually a self-aggrandizing act, but rather something one does in a poor attempt to feel better, or to simply feel something. The rate of suicide rates are sobering: according to this significant report from the World Health Organization, almost a million people die from suicide each year, giving a mortality rate of 16 per 100,000, or one death every 40 seconds. In the last 45 years, suicide rates have increased by 60 percent worldwide. And according to the CDC, “suicide rates are among the 10 leading causes of death in the US.”2

More often than not, you won’t see signs of self-harm, because typically, injuries are inflicted in places easily hidden by sleeves or other articles of clothing. Still, if you’re worried about your child, make an effort to show concern and get them some help. Keep in mind, if your parenting style has been of the lecturing or authoritarian type, or the particularly reactive type, this may be a good time to use a different tactic. Someone who’s suffering in this way will only shut down when faced with an impending firm, albeit worried, lecture. If your child shows signs of stress, anxiety, or begins isolating more than usual, it’s likely that trouble may be brewing. Worrying aside, your kids need to know you are there for them, no matter what.

__________

1: https://www.kcl.ac.uk/newsevents/news/newsrecords/2011/11November/Studyfinds1in12teenagersself-harmbutmoststopbytheirtwenties.aspx

2: https://www.afsp.org/index.cfm?page_id=04ea1254-bd31-1fa3-c549d77e6ca6aa37

For more information, see:

Medscape

Canadian Medical Association

National Institute of Health

Originally posted on November 22, 2011 @ 12:02 am

Categories
Addiction Alcoholism Anxiety Mental Health PTSD Recovery

Addressing Recovery and Trauma

Image by Southworth Sailor via Flickr

A history of sexual violence can create an ideal environment for a variety of mental-health issues, addiction, and alcoholism. Often, the triggering event or events are hidden in the annals of one’s mind and perceived as shameful, deep, dark secrets too horrible to share…with anyone. As a result, drugs, alcohol, and risk-taking behaviors are often seen as the primary issue when one enters treatment. Time and again, we see that this isn’t always the case; That becomes clear when we look at it in terms of statistics:

  • One out of every 6 American women has been the victim of an attempted or completed rape in her lifetime (14.8% completed rape; 2.8% attempted rape)[1];
  • 29% are age 12-17;
  • 44% are under age 18;
  • 80% are under age 30.; 12-34 are the highest risk years.
  • Girls ages 16-19 are 4 times more likely than the general population to be victims of rape, attempted rape, or sexual assault;
  • 7% if girls in grades 5-8 (approx. ages 10-13) and 12% of girls in grades 9-12 (approx. ages 14-17) said they had been sexually abused;
  • 3% of boys grades 5-8 and 5% of boys in grades 9-12 said they have been sexually abused[2].

As I frequently tweet Intervention, one of the things I notice on a regular basis is the consistency in which the women on the show are frequently struggling with a history of sexual violence, and are using drugs, alcohol, and promiscuity as their  primary coping skill. From the outside looking in, it’s clear that the goal is to try to desensitize and anesthetize feelings of shame and guilt, et cetera; in other words, do anything and everything NOT to feel, remember, re-experience, or suffer from the emotional attachment to the event itself.

Twelve-step programs were written with specific goals in mind: to stop the alcoholic/addict from drinking and using. The steps work well in that regard, mostly because they are based on the disease model, addressing issues of alcoholism and addiction accordingly. However, the same tools provided to address addiction issues don’t always work in concert with mental-health issues, particularly those attached to sexual violence. We know the steps adequately provide an alcoholic/addict with the necessary skills needed to learn to take responsibility for and subsequently change their negative behaviors. They do so by asking the addict/alcoholic to take responsibility for their actions, face their fears, and acknowledge that they took part in creating their own demise. However, being sexually abused or raped isn’t a negative behavior to be changed but rather a causative, biting factor in things like:

  • Depression
  • Post-Traumatic Stress Disorder (PTSD)
  • Alcohol and Drug Abuse
  • Suicidal Ideation
  • Eating Disorders

What then, do we do from a recovery standpoint when the predominant disease model isn’t geared to address issues of this caliber? The Big Book, the 12-step primer, was written by men addressing men’s issues, in a time when women were typically viewed as the ones affected by their spouse’s alcoholism and not as the alcoholics themselves. As more women began to come forward as alcoholics and addicts, the tools didn’t always adapt to the new issues that arose because of gender disparity, but rather, they stayed the same, assuming a one-size-fits-all mentality.  In the cases of women dealing with sexual violence, being asked to take responsibility for an abuse event has the potentiality to create more or actually deepen the existing trauma, particularly if the innate issues of shame and guilt associated with it are ignored. The reality is, being victimized by sexual violence is not the fault of the victim. What does need to be addressed, however, is the anger, self-victimization, and negative behavioral byproducts occurring as a result.

We clearly have a multi-layered healing process on our hands, so first, the negative coping skills must be eliminated: Sobriety is an obvious first step and necessary component to support the healing process. Additionally, working with meditation and mind-body awareness techniques are also useful in helping one manage their anxiety, negative feelings toward oneself, and in re-building self-esteem. A therapist skilled in treating PTSD and this sort of trauma is also important, particularly since this is often a lifelong process.

It is in forgiving ourselves that we have the ability to become free.


[1] National Institute of Justice & Centers for Disease Control & Prevention. Prevalence, Incidence and Consequences of Violence Against Women Survey. 1998.
[2] 1998 Commonwealth Fund Survey of the Health of Adolescent Girls. 1998

Sources and support:
RAINN
One in Four
National Coalition Against Domestic Violence

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Originally posted on October 25, 2011 @ 8:21 pm

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