Understanding: Depression, Obsessive Compulsive Disorder, First Episode of Psychosis, Bipolar Disorder, Anxiety Disorders, and Attention Deficit Hyperactivity Disorder for Caregivers and Young Adults: Part 2

2017·16.4 MB·English

UNDERSTANDING DEPRESSION
Young Adult: Get the Facts
What does it mean
when a heath care Hearing a health care professional say you have
professional says depression can be confusing. The good news is
that the emotions and behaviors you have been
“depression”?
concerned about are actually symptoms of a
treatable disorder. By getting treatment and
entering recovery, people with depression can
manage their symptoms, feel better, and go on to
lead productive, meaningful lives. Recovery does
not necessarily mean a cure. It does mean that
people are actively moving toward wellness.
“
My advice is to find out
as much information as
you possibly can about
your diagnosis, treatment
It is important to talk with a health care provider
about treatment options and additional information.
options, and supports
“ Your provider may be a child and adolescent
around you. Information psychiatrist, general psychiatrist, psychologist,
pediatrician, social worker, or other health care
can give you power.
provider. If you are concerned that you may
have depression, it is important to seek a thorough
—Haley, Youth
evaluation. The evaluation includes talking about
your symptoms, blood and urine tests, and perhaps
other tests to ensure that there is no underlying
medical condition that could be causing the
symptoms. It is also important to ensure that you
can tolerate medication, if recommended as part
of the treatment plan.
What do we mean by recovery?
Recovery is a process of change
through which individuals improve
their health and wellness, live a
self-directed life, and strive to reach
their full potential.1
Recovery focuses on wellness and
resilience, encouraging [people] to
participate actively in their own care.2
1
What caused this?
What is
Researchers and health care
depression?
professionals do not completely
understand the causes of
depression. It is unlikely that a single
factor causes depression. It is most
likely caused by a combination of things such
as genetics (i.e., family history of someone
having depression), chemical changes in the
brain, and/or environmental factors. Traumatic
experiences can also add to the development of
mental disorders. If you have experienced a
When you have depression, you feel sad, empty,
traumatic incident, it is important to share that
helpless, or hopeless almost every day, and the
information with your mental health specialist
feelings generally last all day long for at least two
and pediatrician.
weeks. Everyone feels sad or anxious from time to
time, but the feelings that come with depression are
much stronger and long lasting than the “ups and
downs” of everyday life.
Feelings of significant depression usually interfere
with day-to-day activities with your family, school,
at work, or in other social situations. Sometimes
depression involves irritability. Depression may also
involve physical symptoms such as fatigue, sleep
difficulties, and weight changes. Depression can also
cause hopelessness, guilt, and suicidal thoughts.
How common is this disorder?
Depression may happen in a single episode or be a
Data from Substance Abuse and Mental Health
recurrent condition through youth and adulthood.
Services Administration show that 11.4% of
An individual could be diagnosed with major
youth, ages 12-17, had at least one major
depression (which can be mild, moderate, or severe)
depressive episode in the past year.4
or persistent depression. Treatment that involves
medications and other elements of an individualized
treatment program can help you to be more
resilient, manage your symptoms, improve your
everyday functioning, and achieve your personal
goals. An individualized treatment program can
include positive family or peer support.
What do we mean by resilience?
Resilience is the ability to respond to stress,
anxiety, trauma, crisis, or disaster. It is critical
in recovery [from mental disorders].3
2
Depression can be best managed by one or more of
the following interventions: medication(s), behavioral
therapy, and family or peer support. If you are of
What are the
consenting age, you may need to provide written
treatment consent for parents or caregivers to participate on the
treatment team. It is important to talk to your health
approaches?
care providers about other types of treatment, such as
complementary medicine, as well as programs that can
provide additional support related to education,
employment, housing, and vocation and career
development. It is also important to have good self-care,
such as a healthy diet, exercise, sleep, and abstinence
from illicit drugs. You should collaborate with your
family and health care provider to consider treatment
options. Decisions should be made that fit your own
priorities and goals.
Medications
Medications help relieve symptoms and can play an important role in
preventing recurrence of depression. Each person reacts differently to
these medications. For that reason, the prescribing health care
professional may recommend different kinds or dosages of medication
before finding the most effective approach for you. Most medications
must be taken every day in order to be effective. Sometimes longer-
“ acting medications are used. Be candid with your prescriber about use
of any drugs or alcohol, and be patient—it can take several weeks to
I learned that
feel improvement from anti-depressant medication. It is important not
I must understand what to stop using medication as soon as it seems to be working. Most
people need to stay on anti-depressant medication for at least several
they [professionals] months, and often a year or longer, after recovery from a depressive
episode in order to prevent a relapse or a recurrence of depression. For
understand and become some people who have mild symptoms of depression, medication may
“
not be necessary, and initial treatment with therapy can help. You and
empowered, engaged
your mental health care provider, and trusted family members, should
work out a personalized treatment plan that will best help your own
and encouraged.
recovery from depression.
—Darrin, Youth
Therapy
Behavioral therapy, cognitive behavioral therapy, or other forms of
psychotherapy can help you develop skills for coping with situations
that make you feel depressed or helpless.
Support
Your supportive family or peers that have managed similar challenges
can also be an important part of your treatment team for depression.
Talking with peers lets you learn from others who are further along in
recovery. As part of your treatment team, these individuals can help you
recognize mood changes before they become a greater problem. These
partners can provide valuable support and encouragement so you can
stay focused on your recovery and life goals.
3
It is important to tell your health care professional about
all of your symptoms, such as any particular fears or
phobias, including social situations, or persistent low
mood that may be bothering you. Be sure to report any
problems or changes to your prescriber, including any use
of drugs or medications, smoking, excessive caffeine
(energy drinks), or alcohol. Sometimes when people try
to self-medicate their depression with alcohol or drugs, it
can get worse. If you have thoughts or plans to harm
yourself or others, contact your prescriber or the
National Suicide Prevention Lifeline, 1-800-273-LIFE
(8255) or via the web chat function at http://www.
suicidepreventionlifeline.org immediately.
+ + = RECOVERY
EDUCATION TREATMENT SUPPORT AND
RESILIENCE
4
Where can I learn more
and get support?
SAMHSA would like to thank the American
American Academy of Child and Adolescent Psychiatry Academy of Child and Adolescent Psychiatry,
http://www.aacap.org/AACAP/Families_and_Youth/Resource_Centers/Anxiety_ the American Psychological Association, the
Disorder_Resource_Center/Home.aspx American Psychiatric Association, and the
Caring for Every Child’s Mental Health
Campaign Family and Young Adult Councils
American Psychiatric Association
for their collaboration in developing and
http://www.psychiatry.org/depression
disseminating this fact sheet. This report was
prepared for the Substance Abuse and Mental
American Psychological Association Health Services Administration (SAMHSA)
http://www.apa.org/topics/depress/index.aspx under contract number HHSS280201500007C,
with SAMHSA, U.S. Department of Health and
Anxiety and Depression Association of America Human Services. Lisa Rubenstein served as the
http://adaa.org Project Manager and Eric Lulow served as the
Government Project Officer.
Depression and Bipolar Support Alliance
http://www.dbsalliance.org
HelpGuide.Org
http://www.helpguide.org/home-pages/depression.htm REFERENCES:
National Center for Complementary & Integrative Health 1 (2012). SAMHSA's Working Definition of
Recovery. SAMHSA.
https://nccih.nih.gov/health/integrative-health
2 American Psychiatric Association. (2005).
National Alliance on Mental Illness Position Statement on Use of the Concept
http://www.nami.org/Learn-More/Mental-Health-Conditions/Depression of Recovery.
3 (2013). SAMHSA Annotated Bibliography.
National Federation of Families for Children’s Mental Health
https://www.ffcmh.org 4 Center for Behavioral Health Statistics and
Quality, Substance Abuse and Mental Health
Services Administration, U.S. Department of
National Institute of Mental Health
Health and Human Services, & RTI
http://www.nimh.nih.gov International (2015). Results from the 2014
National Survey on Drug Use and Health:
National Suicide Prevention Lifeline Mental Health Detailed Table. Retrieved from
http://www.samhsa.gov/data/sites/default/
http://www.suicidepreventionlifeline.org
files/NSDUH-MHDetTabs2014/NSDUH-
1-800-273-LIFE (8255) MHDetTabs2014.htm
Ok2Talk
http://ok2talk.org
Substance Abuse and Mental Health Services Administration
http://www.samhsa.gov/disorders/mental
Substance Abuse and Mental Health Services Administration
(SAMHSA) National Helpline:
http://www.samhsa.gov/find-help/national-helpline
Youth M.O.V.E National
http://www.youthmovenational.org/
Disclaimer
The views, opinions, and content of this publication are those of
the authors and do not necessarily reflect the official position of
SAMHSA or HHS. The information presented in this document
should not be considered medical advice and is not a substitute
for individualized patient or client care and treatment decisions.
5
HHS Publication No. (SMA) 16-5004
UNDERSTANDING ANXIETY DISORDERS
Young Adult: Get the Facts
What does
it mean when
a health care
Anxiety Disorders
professional
Hearing the health care professional say you have an
says “anxiety
anxiety disorder can be confusing. The good news is
disorder”? that the feelings and stress-related behaviors you
have been concerned about are actually symptoms
of a treatable disorder. By getting treatment and
engaging in recovery, people with an anxiety
disorder can manage their symptoms, feel better,
and lead productive and meaningful lives. Recovery
does not necessarily mean a cure. It does mean that
people are actively moving toward wellness.
“
Once I finally
received a diagnosis,
I knew there was a name
It is important to talk with a health care provider
for what I was experiencing
about treatment options and additional information.
“
Your provider may be a child and adolescent
and there was something
psychiatrist, general psychiatrist, psychologist,
I could do about it. pediatrician, social worker, or other health care
provider. If you are concerned that you may have an
—Youth anxiety disorder, it is important to seek a thorough
evaluation. The evaluation includes talking about
your symptoms, blood and urine tests, and perhaps
other tests to ensure that there is no underlying
medical condition that could be causing the
symptoms. It is also important to ensure that you
can tolerate medication, if recommended as part of
the treatment plan.
What do we mean by recovery?
Recovery is a process of change through
which individuals improve their health and
wellness, live a self-directed life, and strive
to reach their full potential.1
Recovery focuses on wellness and resilience,
encouraging [people] to participate
actively in their own care.2
1
What caused this?
Researchers and health care professionals
What is an
do not completely understand what causes
anxiety
anxiety disorders. It is unlikely that a single
disorder? factor causes an anxiety disorder. It is most
likely caused by a combination of things such
as genetics (i.e. family history of anxiety
disorders), chemical or other changes in
the brain, and/or environmental factors.
Traumatic experiences can also add to the
development of mental health disorders. If
you have experienced a traumatic incident, it
is important to share that information with
your mental health specialist and pediatrician.
People with anxiety disorders worry excessively.
The feelings go well beyond the typical kind of worry
that is appropriate to situations and can help people How common is this disorder?
to focus and be alert. The apprehensive feelings that Anxiety disorders represent one of the most
are typical of an anxiety disorder are felt almost common forms of mental disorders among
every day, and may be overwhelming and difficult children and adolescents, but they often go
to manage. With an anxiety disorder, you may feel undetected or untreated. Data from the
restless, your heart pound, experience muscle Centers for Disease Control and Prevention
tension, fatigue, irritability, difficulty concentrating, show that the rate of anxiety disorders among
and/or sleep disturbances. These symptoms can be 3-17-year-olds is in the range of 3 percent
severe enough to interfere with day-to-day activities (current symptoms) to 4.7 percent (ever
in school, at work, or in social situations. reported having anxiety).4
There are 3 types of anxiety disorders: generalized
anxiety disorder (GAD), phobias, and panic disorders.
Some people have milder forms of anxiety disorders
that don’t last forever and respond well to treatment.
Others with more severe forms of an anxiety disorder
may experience symptoms over their lifetime with
the specific type of anxiety changing over time or
including mood changes. However, treatments
for an anxiety disorder that involve medications,
psychotherapy, and other elements of an What do we mean by resilience?
individualized treatment program can help you to
Resilience is the ability to respond to
be more resilient, manage your symptoms,
stress, anxiety, trauma, crisis, or
improve everyday functioning, and help
you to lead a full, meaningful life. An disaster. It is critical in recovery
individualized treatment program [from mental disorders].3
can include positive family and peer
support.
2
An anxiety disorder can be managed in many ways. This
includes with the use of psychotherapy or a combination of
prescribed medication and therapy. You should consider
various treatment options, along with your family and your
What are the
health care provider. Collaborative decisions should be
treatment made based on your own priorities and goals. If you are of
approaches? consenting age, you may need to provide written consent for
parents or caregivers to participate on the treatment team. It
is important to talk to your health care providers about other
types of treatment, such as complementary medicine, as well
as programs that can provide additional support related to
education, employment, housing, and vocation and career
development. It is also important to have good self-care, such
as a healthy diet, exercise, sleep, and abstinence from illicit
drugs. Understanding your treatment will help you play an
active, full role in your recovery.
Medications
Medications (particularly a group of medications called Selective Serotonin
Reuptake Inhibitors or SSRIs) can help manage many of the symptoms of an
anxiety disorder. Each person reacts differently to these medications. For that
reason, the prescribing health care professional may try different doses and
different kinds of medication before finding the most effective approach for you.
Finding the best medication and the most effective dose for you may take time. In
“
It's important to milder cases of an anxiety disorder, medication may not be necessary, and
therapy or lifestyle changes
remember that the mental
(e.g., smoking cessation, decreased caffeine intake, regular exercise, or
health professionals are mindfulness exercises) may be sufficient to manage symptoms.
there to be your ally, and Therapy
Behavioral therapy, cognitive behavioral therapy, or other forms of psychotherapy
they really want to help.
may be used alone or in combination with medications depending on severity of
symptoms. These kinds of treatment build your natural resiliency and provide
In order for them to help you,
tools to help understand behaviors that may trigger fear and extreme anxiety.
it’s important that you
Support
share with them everything
Your family or peers can also be an important part of your treatment or treatment
team for an anxiety disorder. Talking with peers lets you learn from others who are
that is going on and what
further along in recovery. Family members, caregivers, and peers who are part of
you are feeling because your treatment team can help you recognize early symptoms of anxiety before
they become a greater problem. These partners can provide important support
they can't read your min“d.
and encouragement to help you stay focused on your recovery and life goals.
Plus, you are the only
It is important to talk to your health care professional about all of your symptoms,
expert of yourself. such as troublesome fears or phobias, including social situations or insomnia, that
may be bothering you. Medications must be taken as prescribed to be effective.
—Haley, Youth
Be sure to report any problems or changes to your prescriber, including any use
of drugs or medications, smoking, excessive caffeine (energy drinks), or alcohol
intake. Sometimes when people try to self-medicate their anxiety with alcohol or
drugs, it can get worse. If you have thoughts or plans to harm yourself or others,
contact your prescriber or the National Suicide Prevention Lifeline,
1-800-273-LIFE (8255) or via the web chat function at
http://www.suicidepreventionlifeline.org immediately.
3
+ + = RECOVERY
EDUCATION TREATMENT SUPPORT AND
RESILIENCE
Where can I learn more
and get support?
SAMHSA would like to thank the American
Academy of Child and Adolescent Psychiatry,
American Academy of Child and Adolescent Psychiatry the American Psychological Association, the
http://www.aacap.org/AACAP/Families_and_Youth/Resource_Centers/Anxiety_ American Psychiatric Association, and the
Disorder_Resource_Center/Home.aspx Caring for Every Child’s Mental Health
Campaign Family and Young Adult Councils
Anxiety and Depression Association of America (ADAA) for their collaboration in developing and
http://adaa.org disseminating this fact sheet. This report was
prepared for the Substance Abuse and Mental
Find Youth Info
Health Services Administration (SAMHSA)
http://www.findyouthinfo.gov
under contract number HHSS280201500007C,
with SAMHSA, U.S. Department of Health and
Mental Health America
Human Services. Lisa Rubenstein served as the
http://www.mentalhealthamerica.net National
Project Manager and Eric Lulow served as the
Alliance on Mental Illness Government Project Officer.
http://www.nami.org/Learn-More/Mental-Health-Conditions/Anxiety-Disorders National
Institute of Mental Health
http://www.nimh.nih.gov/health/topics/anxiety-disorders/index.shtml National Suicide
REFERENCES:
National Center for Complementary & Integrative Health
https://nccih.nih.gov/health/integrative-health 1 (2012). SAMHSA's Working Definition
of Recovery. SAMHSA.
Prevention Lifeline
http://www.suicidepreventionlifeline.org 2 American Psychiatric Association.
1-800-273-LIFE (8255) (2005). Position Statement on Use
of the Concept of Recovery.
Ok2Talk
3 (2013). SAMHSA Annotated
http://ok2talk.org
Bibliography.
Substance Abuse and Mental Health Services Administration
4 Perou, R., Bitsko, R. H., Blumberg,
http://www.samhsa.gov/disorders/mental Teen Mental
S. J., Pastor, P., Ghandour, R. M.,
Gfroerer, J. C., et al. (2013). Mental
Teen Mental Health
Health Surveillance Among Children –
http://teenmentalhealth.org/learn/mental-disorders/generalized-anxiety-disorder United States, 2005-2011.
Retrieved from: http://www.cdc.
Youth Motivating Others through Voices of Experience gov/mmwr/preview/mmwrhtml/
http://www.youthmovenational.org su6202a1.htm?s_cid=su6202a1_w
Disclaimer
The views, opinions, and content of this publication are those of
the authors and do not necessarily reflect the official position of
SAMHSA or HHS. The information presented in this document
should not be considered medical advice and is not a substitute
for individualized patient or client care and treatment decisions.
4
HHS Publication No. (SMA) 16-5010
UUNNDDEERRSSTTAANNDDIINNGG AA FFIIRRSSTT EEPPIISSOODDEE OOFF PPSSYYCCHHOOSSIISS
Caregiver: Get the Facts
What does it
mean when a
Hearing a health care professional say your youth or
health care
young adult is experiencing a first episode of psychosis
professional says
can be confusing. The good news is that the emotions
a “first episode and behaviors you have been concerned about are
of psychosis”? often symptoms of a treatable disorder. By engaging in
treatment and entering recovery, people with psychoses
can feel better and can go on to lead productive,
meaningful lives. Recovery does not necessarily mean
a cure for people experiencing a first episode of
psychosis. It does mean that people are actively
“
moving toward wellness.
It can be scary at first—
learning your child has a mental
health diagnosis. But, once you
really think about it,
it is no different than learning
your child has asthma or diabetes.
It is important to talk with a health care provider about
You become educated about the treatment options and additional information. Your
provider may be a child and adolescent psychiatrist,
condition, you find the resources
general psychiatrist, psychologist, pediatrician, social
and professionals your child worker, or other health care provider. If you are
concerned that your youth or young adult is
needs to be healthy, and you continue
“ experiencing a first episode of psychosis, it is important
to love your child just as to seek a thorough evaluation. The evaluation includes
talking about their symptoms, blood and urine tests,
much as you ever did.
potentially a brain scan, and perhaps other tests to
—Malisa, Parent ensure there is no underlying medical condition causing
the symptoms. It is also important to ensure that they
can tolerate medication, if recommended as part of a
treatment plan.
What do we mean by recovery?
Recovery is a process of change
through which individuals improve their health
and wellness, live a self-directed life, and
strive to reach their full potential.1
Recovery focuses on wellness and resilience,
encouraging [people] to participate
actively in their own care.2
1