Do Now:

1. Do Now: “Everyone thinks I’ve gotten better. I haven’t. I’ve just gotten better at hiding it. ” Explain the meaning and message this quote is trying to deliver.

2. Chapter 5Lesson 1,2,3,4 Mental & Emotional Problems -Anxiety & Depression -Mental Disorders -Suicide Prevention - Getting Help

3. Anxiety - feeling uneasy or worried about what might happen - feelings fear or worry - sweating, shaking, tension - inc heart rate, shortness breath USE STRESS MANAGEMENT TECHNIQUES

4. Seek Help When WORRIED MOST OF TIMEEASILY DISTRACTED/CAN’T CONCENTRATE MUSCLE TENSION/UNABLE TO RELAX CHANGES IN APPETITE PYYSICAL SYMPTOMS (HEADACHE, STOMACH ACHE)

5. Depression ONLY 1 OUT OF 3 TEENS SUFFERING FROM DEPRESSION GET HELP . Abraham Lincoln, Theodore Roosevelt, Mark Twain, Marilyn Monroe and Ernest Hemingway have battled depression during their lives

6. Feel sad or down Loss of interest Change appetite or weight Sleep Disturbances Anxious / Can’t relax Loss energy Loss focus Feeling like failure Worthless/Helpless Thoughts Death Symptoms most of the day & longer two weeks Depression – prolonged feelings of helplessness, hopelessness and sadness. 15 % Teens Suffer From Depression Resiliency

7. Types of Depression Minor Depression– less severe symptoms Major depression – medical condition requiring more severe symptoms • May develop from mild depression • Chemicals in the brain Major Dysthymia Bipolar Postpartum Seasonal SEEK HELP FOR DEPRESSION!!!

8. MENTAL DISORDERS Mental Disorders – illness of the mind CAUSES: 1) Physical illness or injury brain (tumors, infections, chemical imbalances, injury) 2) Emotional cause (abuse, disasters, death) 1 out of 4 will suffer from a mental illness Only about 30% get help

9. Anxiety disorders – real or imagined fears are difficult to control Phobias Obsessive Compulsive Disorder (OCD) Panic Disorder Post-traumatic stress(PTSD) Generalized anxiety Disorder (GAD)

12. Impulse Control - are unable to resist urges to hurt themselves or others (cutting, stealing, arson, compulsive gambling or shopping) Eating Disorders: Anorexia –not eating Bulimia – binge and purging Mood Disorders:mood interferes with living Bipolar – highs and lows Depression Conduct Disorders : basic social rules are violated (lying, aggression, cruelty)

13. Schizophrenia:lose contact with reality can’t tell what is real and imaginary Personality disorders:have extreme and inflexible personality traits Borderline personality disorder

15. Joseph Addison: “The three grand essentials to happiness in life are something to do, someone to love, and something to hope for.” WHY? To Do – accomplishments To Love – share feelings, hopes, dreams, and disappointments To Hope- reason to live, things to look forward to, FUTURE

16. Suicide - intentional taking of one’s own life Cluster Suicides – series of suicides Parasuicide – cry help

17. Risk Factors for Suicide 2 Risk Factors 90% Suffer From Depression/Mental Disorder History Alcohol or Drug Abuse • Bullying • Death/separation parents • Alienated by friends or family • Ending of relationship • Money Problems • Depression/Anxiety Disorders

18. Warning Signs of Suicide Verbal Signs - direct statements “I want to die” - Indirect “Soon the pain will be over” - Written statements (poems, songs, etc.)

19. Non-Verbal - withdrawal - mood swings - impulsive behavior - negative self-evaluation - decline school work - giving away personal items - increase substance abuse - feeling trapped or in unbearable pain - feel burden to others - showing rage or talking about seeking revenge

20. Suicide Prevention E60 - unbreakable • Recognize the signs • Show Support/Ask Questions • Stay w/ the person • Persuade them to get help Suicide Hotline Click

21. Types Of Therapy • Psychotherapy – talking w/ mental health professional • Behavior therapy –rewards and reinforcement • Cognitive therapy- identify and correct distorted thinking • Family Therapy – helping family • Group therapy –similar problems • Drug Therapy - medicines (often combined other methods)

22. Write response to each of the following statements that your friend might make. You responses should show good listening skills and empathy, and advise your friend to see a trusted adult. • My family doesn’t care about me. They’ll be happy when I am gone”. • Nobody ever pays attention to me. This will be the only thing I ever do that anyone will notice.” • I can’t live without him/her. I’ll never be happy again”. • Life doesn’t mean anything anymore. I might as well just get it over with”.

23. Risk Factors _______________ _______________ _______________ Warning signs ______________ ______________ _______________ Suicide Prevention ______________ ______________ _______________

25. HISTORY OF MENTAL ILLNESS

26. it was believed that evil spirits caused mental illnesses or abnormal behaviors. most common treatment was trepanation.

27. Oldest Skull found 7,000 years old trepanation - was done by drilling holes into the skull of the possessed person, therefore allowing the evil spirits to leave.

28. EARLYTREATMENTS

29. The mental ill were referred to as lunatics. Establishments for the mentally ill were called madhouses but later became private asylums Opened 1851 – Pennsylvania State Lunatic Hospital Name Changed 1921 -Harrisburg State Hospital

30. State mental hospitals become over-crowded and custodial care supersedes humane treatment.

31. Water Shock Treatment blind-folded on the platform, suddenly the platform falls from beneath and the patient is dumped into a bucket of ice cold water, creating an effect of body shock.

32. The Crib • A person was completely strapped in the crib, unable to move.

33. The Rush Chair • Was used to limit motion and reduce sensory stimulation by covering the head and blocking vision.

34. Rotating Chair • Another device used to induce a state of shock. A person could last only a short time (seconds) in this chair without becoming nauseous and losing consciousness.

35. Electric Shock Therapy

36. Blood Transfusions Blood transfusions with animals or people in order to renew the humors.

37. Eugenics • In the United States, people who had mental disorders were forced to stay in state hospitals and asylums where they were treated without much kindness and respect. Sometimes forced sterilization was used.

38. Lobotomy Walter J. Freeman was the first to perform a lobotomy in America. The purpose of the operation was to reduce the symptoms of mental disorder, and it was recognized that this was accomplished at the expense of a person's personality and intellect. The consequences of the operation have been described as "mixed".Some patients died as a result of the operation and others later committed suicide. Some were left severely brain-damaged. Others were able to leave the hospital, or became more manageable within the hospital. A few people managed to return to responsible work, while at the other extreme people were left with severe and disabling impairments A neurosurgical procedure that consists of cutting or scraping away most of the connections to and from the prefrontal cortex, the anterior part of the frontal lobes of the brain. While some patients experienced symptomatic improvement with the operation, this was achieved at the cost of creating other impairments, and this balance between benefits and risks contributed to the controversial nature of the procedure. The use of the procedure increased dramatically from the early 1940s and into the 1950s; by 1951, almost 20,000 lobotomies had been performed in the United States. Following the introduction of antipsychoctic medications in the mid-1950s, lobotomies underwent a gradual but definite decline.

39. Lobotomy • Due to the number of complications and deaths that resulted from the procedure, it was referred to as “psychic mercy killing” and “euthanasia of the mind.” This was by far mental health care’s darkest hour.

40. Rosemary Kennedy Lobotomy 1941 (23 years old) Rosemary Kennedy who was considered unstable received a lobotomy. Instead of the hoped-for result, Rosemary was left incapable of living a normal life— staring blankly at walls for hours. Her speech became unintelligible

41. Freeman coined the term "surgically induced childhood" and used it constantly to refer the results of lobotomy. The operation left people with an "infantile personality"; a period of maturation would then, according to Freeman, lead to recovery. In an unpublished memoir he described how the "personality of the patient was changed in some way in the hope of rendering him more amenable to the social pressures under which he is supposed to exist." He described one 29-year-old woman as being, following lobotomy, a "smiling, lazy and satisfactory patient with the personality of an oyster" who couldn't remember Freeman's name and endlessly poured coffee from an empty pot. When her parents had difficulty dealing with her behavior, Freeman advised a system of rewards (ice-cream) and punishment (smacks) WHAT CHANGED THE WAY MENTAL ILLNESS WAS TREATED?

42. Enlightened • approaches • Research and • advancements in • technology • Drugs • Introduction of "talk therapy“ • and advocating • Outplacement rather than lifelong • stays. Back to notes