Chapter%205:%20Mental%20and%20Emotional%20Problems

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Chapter 5 Mental and Emotional Problems

• Lesson 1Dealing with Anxiety and Depression

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Objectives

• 1. Understanding anxiety and depression.
• 2. Recognize warning signs for depression
• 3. Understanding the causes and effects of
  depression
• 4. Getting help for depression

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Anxiety v. Depression

• Anxietythe condition of feeling uneasy or
  worried about what may happen
• Depressiona prolonged feeling of helplessness,
  hopelessness, and sadness
• 15 of teens will display some signs of
  depression
• Most common mental health concern among teens
• QUESTION What things in life cause you anxiety?

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Warning Signs of Depression

• Persistent sad or irritable mood
• Loss of interest in activities once enjoyed
• Significant change in appetite or body weight
• Difficulty sleeping or oversleeping
• Physical signs of nervousness
• Loss of energy
• Feelings of worthlessness or inappropriate guilt
• Difficulty concentrating
• Recurrent thoughts of death or suicide

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Causes and Effects of Depression

• Changes in thinking
• People who are depressed may have trouble
  concentrating and making decisions. They may have
  self-destructive thoughts
• Changes in feelings
• People who are depressed may experience
  apathylack of strong feeling, interest, or
  concern. They may not feel pleasure in things
  they once enjoyed. They may be sad, or irritable
  and angry.
• Changes in behavior
• People with depression may become emotional, and
  they may begin eating too little or too much.
  They person may have trouble sleeping and may
  seem tired. The person may also neglect basic
  hygiene and withdraw from social situations.

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Causes Effects of Depression

• Depression can be caused by physical,
  psychological, social/environmental, or genetic.
• Physically caused by a medical condition or
  illness.
• Psychological surviving a traumatic life event.
• Social/environmental living in poverty.
• Genetic family history of depression.

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Getting Help for Anxiety and Depression

• Talk to supportive people
• Get more physically active
• Consider volunteering
• When Anxiety and Depression persist
• How to identify appropriate community resources
  providing information on mental health and
  suicide prevention
• Watch for changes in mood, sleep and energy
  levels
• Talk to a parent, other trusted adult, and seek
  help from a counselor, social worker or other
  health care professional.
• What is going through your head. negative
  messages and thoughts?
• http//abcnews.go.com/Health/video/detecting-teen
  -depression-teenager-sad-mental-health-help-sympto
  ms-warning-signs-11636122

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Chapter 5 Mental and Emotional Problems

• Lesson 2Mental Disorders

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Mental Disorders

• Objective 1 Name the different types of mental
  disorders.
• Objective 2 Identify situations requiring
  professional mental health services.

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Types of Mental Disorders

• Anxiety Disorders
• Impulse Control Disorders
• Eating Disorders
• Mood Disorders
• Conduct Disorders
• Schizophrenia
• Personality Disorders

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Understanding Mental Disorder

• Mental Disorder An illness of the mind that can
  affect the thoughts, feelings and behaviors of a
  person, preventing a person from leading a happy,
  healthful, and productive life.
• Stigma Is a mark of shame or disapproval that
  results in an individual being shunned or
  rejected by others.
• Mental disorders are medical conditions, and
  require diagnosis and treatment just like any
  physical illness or injury.
• Many time, mental emotional problems cannot be
  solved without professional help

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Mental Disorders

• Anxiety Disorder Are disorders in which real or
  imagined fears prevent a person from enjoying life

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Five types of anxiety disorders

• Phobia When a person goes to extreme measures to
  avoid a fear and reacts in a way that limits
  normal functioning.
• Ex. Arachnophobia fear of spiders
• Ex. Acrophobia fear of being in high places
• Ex. Claustrophobia fear of being in small,
  closed spaces.
• Dr. OZ phobia video.
• Part 1 http//www.doctoroz.com/videos/overcome-yo
  ur-phobias-pt-1
• Part 2 http//www.doctoroz.com/videos/overcome-yo
  ur-phobias-pt-2

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Types of anxiety disorders

• Obsessive-compulsive A person who has an
  uncontrollable need to perform repetitive acts.
• Ex. Wash their hands every 2 minutes
• Ex. Make sure door is locked every 30 minutes
• Video Howie Mandel Talks About Living With OCD
• http//www.youtube.com/watch?vdSZNnz9SM4g

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Types of anxiety disorders

• Panic Disorder has sudden, unexplained feelings
  of terror. They are accompanied by symptoms such
  as trembling, a pounding heart, shortness of
  breath, or dizziness.
• This is a condition in which fear and anxiety get
  in the way of a persons ability to function and
  enjoy life.
• They may be triggered by a particular object,
  condition, or situation

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Types of anxiety disorders

• Post traumatic stress disorder A condition in
  which a person who has experienced a traumatic
  event feels severe and long-lasting aftereffects.
  
• Ex. War vets
• Ex. Rape survivors
• Ex. Tornado
• Video War vet his therapy
• http//www.youtube.com/watch?vLM_nw5N3n-I

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Types of anxiety disorders

• Generalized anxiety disorder Exaggerated worry
  and tension for no reason. People with this
  disorder startle easily and have difficulty
  concentrating, relaxing, and sleeping.
• Video clip http//www.youtube.com/watch?vNGSQZrI
  DmIs

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Impulse Control Disorders

• Impulse Control Disorder People cannot resist
  the urge to hurt themselves or others. They may
  also cause financial harm by overspending and
  gambling.
• Examples
• Kleptomania unplanned theft of objects
• Cutting Repetitive cutting parts of the body
  that can be hidden
• Excessive Gambling Cant stop gambling
• Compulsive Shopping Buying things they cant
  afford and dont need.

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Somatoform Disorders

• Somatoform disorders Describes a condition in
  which a person complains of disease symptoms, but
  no physical symptoms can be found.
• Hypochondria A preoccupation with the body and
  fear of presumed disease.
• Ex. Cancer
• Ex. Heart attack

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Hypochondria

• Video Seinfeld
• Part 1 http//www.youtube.com/watch?v8WSuRvfwvBc
  
• Part 2 http//www.youtube.com/watch?v1Z_ROZCSOFE
  
• Video Scrubs
• http//www.youtube.com/watch?vV-Jr7ewKHY4

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Mood Disorders

• Mood disorders Is an illness that involves mood
  extremes that interfere with everyday living.

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Mood Disorders

• Clinical depression If feelings of sadness or
  hopelessness last for more than a few weeks and
  interfere with daily activities and interests.
• Bipolar (Manic-Depressive) Is marked by extreme
  mood changes, energy levels, and behaviors.

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Conduct Disorders

• A pattern of behavior in which the rights of
  others or basic social rules are violated.
• Examples Stealing, cruelty, lying, aggression,
  violence, truancy, arson, and vandalism.

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Schizophrenia

• A condition of losing touch with reality
  accompanied by reduced ability to function. They
  gradually lose the ability to distinguish fantasy
  from reality. This illness tends to run in
  families. Causes may be a combination of genetic
  factors and chemical and structural changes in
  the brain.
• EX. The movie Trailer A Beautiful Mind
• http//www.youtube.com/watch?vaS_d0Ayjw4o
• Video Inside the World of Childhood
  Schizophrenia
• https//www.youtube.com/watch?vKb-6IzGAI1I

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Personality Disorders

• Antisocial A persons constant conflict with
  society. They may display behavior that is
  cruel, impulsive and violent. In many cases are
  unable to show remorse for their behavior.
• Passive-aggressive A person is often
  uncooperative with others. They dont like being
  told what to do, but show anger indirectly.
  Example If they dont want to take part in an
  activity, they may not show up or they may show
  up late and leave early.

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Health Care Services for Mental Health

• 1. Psychiatrist Deals with mental, emotional and
  behavioral disorders of the mind.
• -Therapies treatment techniques
• 2. Neurologist A physician who specializes in
  organic disorders of the brain and nervous system
• Clinical Psychologist Professional who provides
  guidance and treatment for clients with emotional
  problems, usually in the setting of a mental
  hospital, mental health clinic, or family service
  agency

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Practice QuizName the mental disorder.

• Every 2 weeks Shirley complains of having a
  particular disease/ailment but doctors can not
  find anything wrong with her.
• When Billy was younger, lightning struck a tree
  he was standing next to. Now, whenever a
  thunderstorm approaches, he get very anxious and
  scared and runs to the basement shaking.
• Beth is in an extremely good mood. She came to
  class skipping through the doorway and giving
  everyone hugs (even people who she doesnt know).
  Later in the class period, she asks the teacher
  a question and a couple of kids roll their eyes
  at her. Her mood drastically shift and she
  begins crying and keeps calling herself stupid.
  15 minutes later she doesnt say a word the rest
  of class.
• Nick is on crutches and has to go to the 4th
  floor for his doctors appointment. He looks at
  the elevator and begins to sweat. He tells his
  family he is going to crutch up 4 flights of
  stairs because he refuses to ride in the
  elevator.
• Mr. Pagani hands his class a worksheet and tells
  them to complete the worksheet as they watch the
  video. Martha does not like being told what to
  do and decides to sleep during the video. After
  class, when Mr. Pagani talks to her, she said she
  is tired from doing homework last night.

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Practice QuizAnswers to the mental disorders

1. Hypochondria
2. Post traumatic stress disorder
3. Manic-depressive (AKA bi polar)
4. Phobia
5. Passive-aggressive

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Chapter 5 Mental and Emotional Problems

• Lesson 3Suicide Prevention

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Suicide Prevention and Getting Help

• Objective 1 Identify the common risk factors.
• Objective 2 List the warning signs of suicide
• Objective 3 Determine strategies to prevent
  suicides and strategies for coping with
  depression.
• Objective 4 Describe ways you can help

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Facts Myths on Suicide

1. People who talk about suicide dont commit
   suicide
2. Suicide happens without warning
3. Suicidal people are fully intent on dying
4. Once a person is suicidal, they are suicidal
   forever
5. Improvement following a suicidal crisis means
   that a suicide risk is over
6. Every person who commits suicide is mentally ill.
7. Suicide is more common among the lower
   socio-economic groups
8. Suicide is caused by one very traumatic loss in
   the victims life.
9. There is nothing you can do to stop a suicide.

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Suicide

• 3rd leading cause of death for teens ages 15-19.
• Each year, 17 of all teens in this age group
  will consider suicide.
• More than half of that 17 will attempt it.

Suicide Risk Factors

• More than 90 of those who commit suicide are
  suffering from depression or another mental
  disorder, or have a history of abusing alcohol or
  other drugs.

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Suicide Statistics

• According to the American foundation for Suicide
  Prevention in 2010 there were 38,364 suicides.
  Thats one suicide every 13.7 minutes.

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Suicide Risk Factors(pg. 230)

• 90 of the people who kill themselves are
  suffering from depression, or another mental
  disorder, or abusing alcohol or drugs.
• Some people use alcohol or other drugs to relieve
  their depression. These have a depressant effect
  making self-destructive behavior more likely.
• video, Cyberbulling Suicide http//www.youtube.
  com/watch?vHYWXeUAM6ws

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How Can You Help Your Friends?

• Initiate a meaningful conversation
• Show interest, compassion, patience and
  understanding.
• Show support and ask questions
• Remind the person that all problems have
  solutions, and that suicide is NOT the answer.
• Try to persuade the person to seek help
• Encourage the person to talk with a parent,
  counselor, or trusted adult.

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The vast majority of those who attempt suicide do
not want to die they are suffering and are
making a plea for help!
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Did you know?

• Four males commit suicide to every 1 female, and
  represent 79.4 of all U.S suicides.
• Firearms are the most commonly used method of
  suicide among males (57.6)
• Females attempt suicide 2-3 times as often as
  males do
• Poisoning is the most common method of suicide
  for females (39.1)

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Recognizing the verbal warning signs

• Direct statements (I want to die, I dont want to
  live anymore, I wish I were dead)
• Indirect statements (I wont have to put up with
  this much longer, theyll be sorry when Im gone,
  I cant take it anymore)
• Writing poems, songs, or diary entries that deal
  with death
• Suicide threats or insinuations

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Recognizing the nonverbal or behavioral signs

• An unusual obsession with death
• Withdrawal from friends
• Giving away personal belongings
• Deterioration in schoolwork or recreational
  activities.
• Dramatic changes in personality, hygiene, or
  appearance.
• Substance abuse

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How You Can Help

• Show empathy when talking with the person. This
  will let the person know that you are concerned.
• Initiate a meaningful conversation Show
  interest, compassion, patience, and
  understanding.
• Show support and ask questions
• Try to persuade the person to seek help Offer to
  go with if needed. Tell an adult even if they
  say they are going to talk to someone later.

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Getting Help

• Knowing when to get help!
• You feel trapped or you worry all the time
• Your feelings affect your sleep, eating habits or
  school work
• Your friends and family express concern
• You are becoming involved with alcohol and drugs
• You are becoming increasingly aggressive, violent
  or reckless

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Chapter 5 Mental and Emotional Problems

• Lesson 4Getting Help

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Objectives

• Identifying when teens should seek help
• Know how to overcome the stumbling blocks for
  getting help
• Where to go in the community to receive help
• Describe the different mental health professionals

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When To Get Help

• Teens should seek help if they experience any of
  the following
• Feeling trapped or worrying all the time
• Feelings that affect sleep, eating habits,
  schoolwork, job performance, or relationships
• Becoming involved with alcohol or other drugs
• Becoming increasingly aggressive, violent, or
  reckless

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When Help is Needed

• More than ½ of suicide youths had symptoms of a
  mental disorder for more than a year prior to
  their deaths.
• Teens should seek help if they experience any of
  the following!
• You feel trapped or you worry all the time
• Your feelings affect your sleep, eating habits or
  school work
• Your friends and family express concern
• You are becoming involved with alcohol and drugs
• You are becoming increasingly aggressive, violent
  or reckless

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Overcoming the Stumbling Blocks

• When asking for help, remember these facts
• Asking for help is a sign of inner strength. It
  shows responsibility for ones own wellness.
• Serious disorders, compulsions, and addictions
  are complex and require professional
  intervention.
• Sharing your thoughts with an objective, helpful
  individual can be a great relief.
• Financial help to pay for care may be available.

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Where to go for Help?

• Question Where can you go for help?
• Trusted Adult
• Parent
• Relative
• Teacher
• School Counselor
• Social Worker
• Crisis Hotline

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Mental Health Professionals

• Counselor A professional who handles personal
  and educational matters
• School psychologist A professional who
  specializes in the assessment of learning,
  emotional, and behavioral problems.
• Psychiatrist A physician (doctor) who diagnoses
  and treats mental disorders and can prescribe
  medications.
• Clinical psychologist a professional who
  diagnoses and treats emotional and behavioral
  disorders with counseling.
• Neurologist A physician who specializes in
  physical disorders of the brain and nervous
  system.

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Treatment Methods

• Psychotherapy
• Dialogue between a patient and mental health
  professional
• Behavior therapy
• Focuses on changing unwanted behaviors through
  rewards and reinforcements
• Cognitive therapy
• Designed to identify and correct distorted
  thinking patterns
• Family therapy
• Focuses on helping the family function in more
  positive and constructive ways by exploring
  patterns in communication and providing support
  and education
• Group therapy
• Treating a group of people who have similar
  problems
• Drug therapy
• The use of certain medications to treat or reduce
  the symptoms of a mental disorder