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I was honored to participate last week in a blogger conference call sponsored by Revolution Health with Dr. Val Jone, Dr. Mark Smaller, and Ross Szabo about depression and mental illness among college students today.
You can listen to the podcast of the interview by clicking here.
We covered a variety of topics, important information for parents of those going off to college this year, and for college students themselves.
Ross Szabo is the Director of Youth Outreach for the National Mental Health Awareness Compaign, has spoken to over 500,000 young people in high school and colleges about mental health issues in the last five years. His passion for de-stigmatizing depression and mental illness is contagious, and I can see why he is a favorite speaker on this topic. His book, “Behind Happy Faces: What Young Aduts Need to Know About Mental Health,” was released last week.
Mark Smaller, Ph.D., practices psychoanalysis and psychotherapy in Chicago with adults, adolescents and children, as well as consults with parents and couples. He is also the Director of the Neuro-Psychoanalysis Foundation in New York and London, which supports research in neuropsychoanalysis.
Here are some of the questions we bloggers asked. The answers are from my notes (not precise … so check the podcast for accurancy):
Q: What are some ways parents might be able to minimize the risk of mental disorders as their kids go off to school?
A: It’s best to establish some plans before packing up, certain strategies in place so that they don’t fall prey to the typical ways college kids handle the transition: isolating themselves in studies, self-medicating with alcohol, sleep problems. Parents need to have frank conversations with their kids. If the young person is particularly vulnerable, or has already struggled with a menal disorder, they need to minimize the disruption that occurs when going off to school. They should line up a psychotherapist or psychiatrist that they can visit, and have support systems that will assist them with the transition.
Q: How do you encourage students to ask for help?
A: Colleges should follow the models set forth by sex education, alcohol and drug awareness programs. The best way to remove the stigma is by peer to peer outreach. A college student is going to listen more to a peer who is knowledgeable on mental illness than a professional. So colleges need to do a better job of educating: of telling folks that the brain is an organ just like the lungs and heart, and mental disorders need to be treated, that one in four college students suffers from depression or a form of mental illness. The best way to remove the stigma of mental disorders to to normalize mental health. Stick with the health angle–how does a person stay healthy–not isolating the disorder (“you have bipolar disorder and are therefore different from your peers”).
Q: What tangible steps can a friend take to help someone who is depressed?
A: It’s important to know that no friend can be a therapist or psychiatrist. Friends can’t fix another’s problem. The person struggling with depression has to be the one who wants to get help. Without that, not much is possible in terms of treatment. The best thing a friend can do is to go to a psychologist or therapist and tell him what the friend is doing–to give a report of symptoms–and to find out the best resources. Then, after educating herself a bit, she should approach the firend in a non-confrontational way. She should try to turn any confrontation into a non-threatening and comfortable conversation. For example, she should try her best to keep it positive, and tell her why she feels a need to address it–because she cares about the friend and is concerned. Again, it’s best to focus on health, not disease: about how the brain is another organ, about ways that the friend can take care of her mental health.
Q: What are some signs a person is depressed or has a mental disorder?
A: The classic early signs are as follows:
* having difficulty concentrating,
* changes in appetite
* changes in sleep
* a feeling of persistent hopelessness
* a chronic adversarial attitude with parents or teachers
* suicidal idealizations
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posted September 6, 2007 at 6:41 pm
Hi, I’m new to your blog.
Have you posted in the past about the causes of depression? Is depression most commonly caused by chemical imbalances (unrelated to life experiences), or is it most often a reflection of difficulty coping with life’s challenges?
Thanks,
Cardozo
The Buddha Diaries
posted September 7, 2007 at 10:46 am
Re: “the brain is an organ just like the lungs and heart”
I personally don’t think this separation of the mind/body connection — the physical body from mental and spiritual influences — is really misguided and not especially healthy. The U.S. is very focused on treating as many as problems as possible with medication, therapy has dropped dramatically because it’s less profitable and not as quick a fix, and more holistic approaches to “mental illness” are not being promoted. While I agree that depression can be a serious illness, and medication is sometimes necessary, I wish more college professionals would focus on the issues in students’ lives and encourage a more holistic approach to treatment. I don’t think this approach of “I’m just a regular person with [blank disorder]” is especially good for anyone except pharmaceutical companies.
posted September 8, 2007 at 12:42 pm
In reference to the “brain is an organ”, etc. – yes, and when not functioning properly MUST be treated as the lungs and heart would. Therapy and all non-medicinal treatments are fine and beneficial; HOWEVER, as far as medication being a ‘QUICK FIX’- NOT! It can be a long and arduous journey, which until balanced with the correct medication (since there are currently no sufficient markers yet to treat each person except through trial, error and hope), can take a person to the depths of Hell. For that the spiritual nature and influences are needed to carry that person through the process, and then, without a “cure” – but hopeful remission or reprieve, may other aspects of spirituality and “issues” be focused on to eliminate or change the person’s attitudes, circumstances, difficulties, coping mechanisms and so on. Believe me that I am no great fan of pharmaceutical companies. BUT, if not for the medication that I take on a daily basis to treat the level of clinical depression I have (which is so severe, it has been estimate that approximately only 3% of the population have it to this degree), my husband would have no wife and my children would have no mother. I have “worked” on all aspects of my life and continue to do so, now living with another chronic, debilitating illness, which is ME/CFIDS. I can tell you that the “holistic community” of treatments can also be very greedy in taking advantage of people’s money and hopes in approaches to “treatment”.
posted September 8, 2007 at 12:51 pm
P.S. – another reply to the post by Senlin – re: – Regular Person
I AM JUST a regular person (whatever that is – and is there such a thing) – but as far as what I see in your writing. I am just a regular person with….. clinical depression, ME/CFIDS, and other trials, suffering, joys, and moments (albeit brief) of peace.
posted September 9, 2007 at 3:37 pm
senlin:
If you are saying that mental illness is a disease of the soul, then you are saying that it is a punishment from G-d. I realize Blessed Mother Teresa was able to embrace that even in her “dark night of the soul,” but I do not share her faith (who does?) or that sentiment.
Also, while I’m not unsympathetic to your skepticism of drug companies (most of my medications, not coincidentally, are generic …) — when you encourage people to hide their diagnoses, keep in mind that you are also encouraging the stigma that has surrounded mental illness for so long. My mother — who had her own breakdown and hospitalization many years ago — still calls my grandmother’s and my own bipolar disorder (and let’s face it, it’s usually diseases of the brain rather than diseases of the soul that are inherited) “the spells.” (Sigh.)
posted September 14, 2007 at 8:36 am
Bravo to Babs – bravo -