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Published By  Lindsay
My sister's letter......

I am a pathological liar. I lie to everyone around me. 

I say I have friends, that I am busy, happy, nice, smart. 
The person I lie to the most is me. I tell myself that I'm worth something and that
I prefer not to have anyone who likes me. 

Everyone leaves a room I enter. 

People stop talking when I get close. 

When I say something it is ignored or made fun of.

In less than a day I can go from bouncing off the walls to don't even want to move. 

Sometimes I go entire weeks where having no one who wants me around doesn't bother
me at all, then I cry for weeks for being so pathetic that I don't even have one


Published By  Lindsay

This is mental health awareness month.


 05/09/2013 Which means, in my experience, that it is still, to some extent at least, alcohol awareness month. Many people who suffer with undiagnosed depression or anxiety reach for alcohol or drugs to calm their nerves or relieve them of emotional pain. In other words, they self-medicate. Rather than seek out some help in managing depression, anxiety or chronic resentment, they seek their own solution -- a solution which, while it works pretty well for a while, eventually complicates the issues and leads to more pain. It's the same sort of premise as having access to your own morphine drip: You administer your own dose whenever you begin to feel pain.

Hiding in Plain Sight
Many people can get rid of temporary pain by having a couple of drinks and calming down in the evening, say, or by knocking back some "liquid courage" before facing a social event. For some, there's no more to it than this, and their use of alcohol remains fairly benign. But for another group, a group that is larger than any one cares to admit, the solution slips into a dependency, and the dependency slips into an addiction. Slowly, this group becomes trapped in their own solution. Not only can they not quite face an evening without some "help," but their own healthy coping strategies begin to atrophy through lack of use. And as they increasingly depend more and more on a substance to change their mood, their relationship with that substance comes to have a life of its own. Pretty soon you aren't really sure who you are talking to at dinner: Is it the person you remember or that person "under the influence"? Is it the "booze talking" expansively, angrily, or overly confidently, or is it them?

The connection between alcohol/drugs and mental health is not made enough and cannot be made too often. Once a using pattern begins, often innocently enough, it can come to have a life of its own. No longer is the person downing a drink -- now the drink is downing the person.


Published By  Lindsay

There is great emphasis on how to get into shape for both mind and body.


  • By  Nancy Hastings

  • HILLSDALE — Feb. 11, 2013 11:19 am
  • While some believe health solely depends on the way you treat your body, taking care of your mind plays a big part, too.
    Experts say when you’re depressed, your mind and body suffer. Depression can cause or worsen chronic illnesses, such as heart disease.
    According to the National Institute of Mental Health, about 19 million people in the United States – one in 10 adults – experience depression each year, and nearly two-thirds do not get the help they need. Treatment can alleviate the symptoms in over 80 percent of the cases. Yet, because if often goes unrecognized, depression continues to cause unnecessary suffering.
    Kyle Maystead, LPC, has a master’s degree in therapy offering counseling services in Hillsdale. She said this time of year is difficult for many due to Seasonal Affective Disorder (SAD) or winter disorder, from a lack of sunlight.
    “There are so many issues that can trigger depression such as loneliness, despair and unhappiness that you can’t pinpoint it’s causes,” Maystead said. “Other factors can include domestic violence and family conflicts since everyone is home and in close proximity.”
    Maystead said treatment can include mind and body techniques, even something as simple as exercise.
    “Whether it’s caused by environmental or personal issues, there are quite a lot of people who benefit from getting the endorphins going,” she said. “When you move thdy, mood elevates. It’s a process that works across the whole spectrum.”
    If left untreated, it can create unhealthy habits.
    Blue Cross Blue Shield of Michigan notes depression can lead to unhealthy habits such as smoking, drinking, physical inactivity or poor sleep. And, depression can make it harder to stay healthy and active as you age.
    Marianne Osentoski, a licensed psychologist practicing in the Hillsdale area since 1996, said mind and body connection is very important.
    “Depression can cause weight gain or weight loss and weight gain can cause depression,” Osentoski said. “We’ve heard of endorphins aiding in treatment of depression, so if you can’t or won’t exercise, you do not get the extra umph to aid in fighting depression.” She said one of the most exciting treatment modalities that has much support now is mindfulness meditation.
    “I used it with my lap band support group the other night,” she said. “It uses lots of meditation and getting in touch with your own body - how its feeling, acknowledging that there is pain, learning to accept it and live with it, focusing on the here and now.”
    Osentoski said the meditation is often used in conjunction with yoga and e bomany eastern exercises, such as Tai Chi.
    Experts agree, if symptoms linger for two weeks or more, talk with your doctor. Screening tests can show if you have depression. Then you and your doctor can work on a plan to help you feel better about life.

Published By  Lindsay

Deborah Brauser

Jan 08, 2013

Research showing evidence of definitive links between diet and development of depression is "lacking" — showcasing the urgent need for large, longitudinal studies with improved methodology, experts suggest.

Researchers note that future research into this association should follow the models used to investigate the link between diet and cardiovascular risk.

Dr. Almudena Sanchez-Villegas

"Depression is similar in many aspects to heart disease," said Almudena Sanchez-Villegas, PhD, from the Department of Clinical Sciences at the University of Las Palmas de Gran Canaria in Spain, and Miguel A. Martíinez-González, MD, PhD, from the University of Navarra in Pamplona, Spain, in a release.

"Both are associated with low-grade inflammation, endothelial dysfunction, and worse lipid profiles," they explain. "This tends to suggest that the underlying causes, such as a diet high in trans fats, are also the same."

The article was published online January 2 in BMC Medicine.


Published By  Lindsay


Outpatient involuntary treatment needs to be considered.

A mentally ill young male kills innocents. He had struggled with – fill in the blank mental illness (autism, depression, bipolar disorder, schizophrenia) – and did not receive treatment, or did not agree to treatment, or did not respond to treatment. He and his family tried to get help, but failed, and eventually his family gave up. The young man became a loner, living quietly on the margins of society, until, one day, he had enough and decided to kill himself.

Like suicide-by-cop, he decided to kill himself by killing others, thereby ensuring that police would kill him, and, if not, he could always kill himself at the end. It might be in a movie theater, or a subway station, or at a mall where a politician would speak, or – worst of all – in an innocent elementary school.

He had access to guns, yes, but it was an insane mind that pulled the triggers, a mind, often, with a treatable disease. Not infrequently, we know the disease, we know how to treat it, we have the treatments. It is sometimes the case that it is not lack of knowledge which leads to tragedy; it is the inability to implement what we know.

This is not a problem of ignorance; it's a problem of public will. 


Published By  Lindsay


The New York Times

November 4, 2012

The rate of suicide in the United States rose sharply during the first few years since the start of the recession, a new analysis has found.

In the report, which appeared Sunday on the Web site of The Lancet, a medical journal, researchers found that the rate between 2008 and 2010 increased four times faster than it did in the eight years before the recession. The rate had been increasing by an average of 0.12 deaths per 100,000 people from 1999 through 2007. In 2008, the rate began increasing by an average of 0.51 deaths per 100,000 people a year. Without the increase in the rate, the total deaths from suicide each year in the United States would have been lower by about 1,500, the study said.




  • Depression FAQ's
    Depression FAQ - Part I II & III
    What is depression?
    This FAQ is intended to give you an introductory overview of depression provided by McMan's Depression and Bipolar Website. The FAQ is divided into three parts.
  • Depression-What you need to know
    Clinical Depression is a common, real and treatable illness.
  • Depression Therapy
    Treatments for Depression
  • Am I At Risk for Developing Depression?

  • Goldberg's Depression and Mana Scales
  • Postpartum Depression
    Postpartum depression is caused by changes in hormones and can run in families. Women with severe premenstrual syndrome are more likely to suffer from postpartum depression. Mild or moderate depression, either postpartum or otherwise, can be treated with medication or with psychotherapy, or, particularly for women with severe cases, a combination of the two. Women who have postpartum depression love their children but may be convinced that they're not able to be good mothers
  • Depression and Suicide
    The Bleakness of Depression
    "The bleakness of the landscape is unimaginable. It is as friendless and alien as a Dali painting. Ordinary concerns, such as work or friends, have no place here. Futility muffles thought; time elongates cruelly. Who is to blame for this situation? Those with depression think it must be them. Pointlessness and self-loathing govern them. So the natural final step is suicide. People with depression don�t kill themselves to frighten an errant boyfriend. They kill themselves because it is the obvious and right thing to do at that point. It is the only positive step they can think of."
    -Kay McKall
    an Ipswich (UK) general practitioner
    and consumer with depression,
    writing in the British Medical Journal
    (NAMI Advocate, winter 2002)

    Untreated depression is the #1 cause of suicide. Depression IS treatable.
    Suicide IS preventable.

  • Bereavement
    When someone close to us dies, it can sometimes feel as if we'll never get over the loss. As much as death is a part of life for everyone, it is also one of the most difficult things to cope with. But getting through grief and being able to move on with life is essential to our mental health and well-being. Fortunately, there are reasonably predictable stages of grief.
  • Treatment Resestant Depression
    Treatment-resistant depression (TRD) occurs when 4 or more adequate antidepressant treatments have not provided desired improvement.
  • Substance Abuse
    Substance abuse refers to the overindulgence in and dependence on a psychoactive leading to effects that are detrimental to the individual's physical health or mental health, or the welfare of others.
    The disorder is characterized by a pattern of continued pathological use of a medication, non-medically indicated drug or toxin, eg: alcohol, that results in repeated adverse social consequences related to drug use, such as failure to meet work, family, or school obligations, interpersonal conflicts, or legal problems. There are on-going debates as to the exact distinctions between substance abuse and substance dependence, but current practice standard distinguishes between the two by defining substance dependence in terms of physiological and behavioral symptoms of substance use, and substance abuse in terms of the social consequences of substance use.

    Substance abuse may lead to addiction or substance dependence. Medically, physiologic dependence requires the development of tolerance leading to withdrawal symptoms. Both abuse and dependence are distinct from addiction which involves a compulsion to continue using the substance despite the negative consequences, and may or may not involve chemical dependency. Dependence almost always implies abuse, but abuse frequently occurs without dependence, particularly when an individual first begins to abuse a substance. Dependence involves physiological processes while substance abuse reflects a complex interaction between the individual, the abused substance and society.
  • Seasonal Affective Disorder (SAD)

    If you notice periods of depression that seem to accompany seasonal changes during the year, you may suffer from seasonal affective disorder (SAD). This condition is characterized by recurrent episodes of depression – usually in late fall and winter – alternating with periods of normal or high mood the rest of the year.

    Most people with SAD are women whose illness typically begins in their twenties, although men also report SAD of similar severity and have increasingly sought treatment. SAD can also occur in children and adolescents, in which case the syndrome is first suspected by parents and teachers. Many people with SAD report at least one close relative with a psychiatric condition, most frequently a severe depressive disorder (55 percent) or alcohol abuse (34 percent).

  • Self-Harm

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