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Getting Help For Yourself Or Your Friend. EMOTIONAL HEALTH 101. Play Video 1. FIRST RULES. You don ’ t need to know exactly what is wrong - just that there is a problem It is courageous and sensible to ask for help when it is needed

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Getting Help For Yourself Or Your Friend

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Getting Help For Yourself Or Your Friend


EMOTIONAL HEALTH 101

Play Video 1


FIRST RULES

  • You don’t need to know exactly what is wrong - just that there is a problem

  • It is courageous and sensible to ask for help when it is needed

  • Trust your gut - if you think there is a problem, discuss it with someone

  • Trust your friends - if they are telling you they are worried about you, listen to them


WE ARE ALL HUMAN

  • People have problems all the time

  • Many times we can work our troubles out with help from friends, family or by ourselves

  • Dealing with problems and personal challenges provides us with opportunities to grow, mature, and learn about ourselves and the world

  • They are an inevitable part of life


BUT YOU SHOULD GET HELP IF…

  • Problems:

    • Are severe or intense

    • Last a long time

    • Keep getting worse

    • Seem to be repeating themselves

  • The usual ways of dealing with things are not working

  • You are having thoughts or impulses of harming yourselfor someone else


  • THE BIG CATEGORIES

    Problems in:

    Feeling

    Thinking

    Behavior

    These categories are not exactly exclusive. This is a way of organizing information to help you understand and remember


    PROBLEMS IN FEELING

    • Anxiety

    • (“I feel really nervous, tense, panicky”)

    • Depression

    • (“I feel really sad, down, blue, always tired”)

    • Mania

    • (“I feel too good, can’t stop”)


    ANXIETY

    Play Video 2


    ANXIETY

    • Feeling tense, nervous, frightened (especially if there is nothing specific to be afraid of)

    • Also often called “stress”

    • Constant or frequent worrying or brooding

    • Might cause problems in sleep, concentration or sitting still

    • Might present as panic (intense, discrete periods of anxiety)


    DEPRESSION

    Play Video 3


    DEPRESSION

    • Feelings of sadness, feeling “blue” or “down” all or most of the time or for an extended period

    • Sleeping and eating troubles (too much or too little)

    • Feeling slowed down or sped up/tense; trouble concentrating

    • Lack of interest in usually enjoyable activities (hobbies, TV or video games, sex, seeing friends)

    • Social withdrawal


    DEPRESSION

    • Might have physical complaints (aches, pains) or worries about health

    • Poor self care (not bathing, changing clothes, etc.)

    • Irritable (men often get irritable or angry when they are depressed)

    • Feeling worthless, guilty, that life is not worth living

    • Thoughts or impulses of harming yourself or others (we’ll discuss this more later on)


    MANIA

    • Mania is the “up” side of bipolar disorder

    • It is rare – much less common than anxiety and depression

    • Often feel “great” or very revved up

    • Person may not be aware of a problem

    • Often show very poor judgment

    • Impulsive (sexual, spending money) or risk taking behaviors are common


    BOTTOM LINE

    If problematic feelings like anxiety, depression, or mania are intense or last a long time, you should reach out for help


    PSYCHOSIS

    • A problem in thinking

    • Occurs in the context of major psychiatric illnesses

    • A serious disconnection with reality manifested by either hallucinationsor delusions

      • Hallucinations - sensory experiences when there is no real sensory experience (e.g., hearing voices when no one is speaking)

      • Delusions - strongly held beliefs out of the realm of reason (e.g., “The FBI is reading my thoughts”)

  • Often (but not always), people with psychosis will have:

    • Disorganized speech and behavior

    • Poor Self-Care

      It is fairly rare - but in almost all cases requires professional treatment


  • BOTTOM LINE

    • When anyone has thinking that is:

    • Severely Disturbed

    • Disconnected from Reality

    • It is important to get professional help as soon as possible (more on this later)


    PROBLEMS IN BEHAVIOR

    • Obsessive/Impulsive Behaviors

    • Substance Abuse

    • Self Harm


    COMPULSIVE/IMPULSIVE BEHAVIOR PROBLEMS

    • Often feel like you have an urge to do something you don’t really want to be doing

      • Excessive hand washing

      • Triple+ checking (e.g., door locks, electrical outlets)

      • Taking things that don’t belong to you

  • Problems controlling eating (too much or too little) or self harm like burning or cutting can be serious problems


  • SUBSTANCE ABUSE

    • 30% of college students report that substances are interfering with their school functioning

    • Alcohol and marijuana are the most frequent substances abused, but stimulants (Ritalin and Adderall) have become more common


    PRESCRIPTION DRUGS

    • Medications like Adderall, Ritalin and similar drugs used to treat ADHD are safe and effective when used to treat ADD/ADHD as prescribed

    • When misused, they might cause acute anxiety or panic, psychosis, andheart problemsfor some users

    • If they are misused regularly, users can suffer severe depression or physical withdrawal upon stopping them

    • Narcotic drugs like Vicodin, Oxycontin or Percocet can be severely addicting and dangerous


    HOW YOU CAN HELP

    Play Video 4


    ALCOHOL MISUSE

    • Alcohol misuse can occur in episodes, such as binges, or in regular chronic use

    • People sometimes use alcohol to cover up anxiety or depression but alcohol can worsen both of these issues

    • Episodes of heavy alcohol misuse can lead to coma and death, along with increased rates of accidents, fights, and sexual assaults on campus

    • Regular misuse is associated with poorer school performance and increased rates of drop-outs


    INTOXICATION

    Results from use of:

    • Alcohol

    • Hallucinogens (LSD, Mushrooms)

    • Stimulants (Cocaine, Ecstasy)

  • Can disturb:

    • Thinking

    • Perception

    • Judgment

    • Behavior

    • These problems can resolve when the substance has left the system (but might not for some individuals)

    • Can be dangerous if the intoxicated person is:

      • Severely agitated

      • Behaving in threatening ways to self or others

      • Has a change in consciousness – appears to be passing out

    It is important to get help if any of these occur


    SUICIDE AND SELF-HARM

    Suicide - while rare in college students - most often occurs among people who are depressed

    Factors that increase risk and danger include:

    • Past history of suicide attempts

    • Impulsivity

    • Feeling trapped or hopeless

    • Withdrawal

    • Intense guilt

    • Access to means for self harm


    SUICIDE CONCERNS

    Many young people have thoughts of suicide and it almost always suggests the presence of a serious problem

    If you are having thoughts or impulses to harm yourself (or others) it is extremely important to get help as soon as possible


    GETTING HELP:KNOW YOUR OPTIONS!

    It is important to know where you can get help or support on campus

    • Find location of:

      • Counseling Services

      • Health Services

      • Chaplain

      • Dean of Students

      • Student Affairs Office

        Does your school have emergency services on campus? Find out and know how to contact - it is often through the campus security office. Add them to your phone contacts!

        In a crisis you can always call 1-800-273-TALK (8255)


    HELPING A FRIEND

    • How do you know when your friend is in trouble?

    • Listening Skills

    • How to Help


    HOW YOU CAN HELP

    Play Video 5


    HOW DO YOU KNOW?

    • Look for CHANGE

    • Changesin:

      • Self-care

      • Dress

      • Eating

      • Sleeping

      • Social interactions

      • Patterns of substance use


    TOO MUCH OR TOO LONG

    Remember what we said about emotional problems:

    If they seem too intense or are lasting too long…

    This could indicate a problem


    LISTENING SKILLS

    • Don’t try to solve the problem (if it is difficult or complicated)

    • Don’t be afraid to ask about suicidal thoughts

    • Just talking to a person and listening is helpful

    • Listen with an “open mind” – don’t try to fill in the gaps with your own thoughts or words

      • If something doesn’t make sense, ask about it

  • Try to be patient and non-judgmental


  • HOW TO HELP A FRIEND

    Play Video 6


    HOW YOU CAN HELP

    • Let your friend know that we all go through tough times

    • Make sure to convey that it is possibleto feel better! Counseling CAN help

    • Let them know that it is OK to ask for help when it is needed

    • Trust your instincts - if you are worried about your friend, speak to someone about it

    • If your friend is thinking of suicide - let campus counseling or security know right away


    KNOW CAMPUS RESOURCES

    • If you need to get help for your friend, call the counseling center

    • In an emergency, don’t leave him or her alone! Call campus security or 911

    • Again, if your friend is talking about wanting to die, harming himself or someone else, call campus security or 911 right away

    • If you are unsure what to do and it may be a crisis, consult campus security, counseling, or the National Crisis Lifeline: 1-800-273-TALK (8255)


    FINAL THOUGHTS

    • 1. These Things Happen!

    • 2. Look for Change

    • 3. Ask for Help

    • Know that you are not alone and help is available


    MENTAL HEALTH RESOURCES

    For more information on mental health conditions and substance abuse please consult the following websites:

    ULifeline

    http://www.ulifeline.org/

    Half of Us

    http://www.halfofus.com

    National Alliance on Mental Illness (NAMI)

    http://www.nami.org/Template.cfm?Section=By_Illness


    MENTAL HEALTH RESOURCES

    • National Institute on Mental Health

      http://www.nimh.nih.gov/index.shtml

    • The Trevor Project

      http://www.thetrevorproject.org/

    • Community Conversations About Mental Health: Information Brief

      http://store.samhsa.gov/product/


    MENTAL HEALTH RESOURCES

    • The Partnership for DrugFree.org

      http://www.drugfree.org/

    • National Institute of Drug Abuse

      http://www.drugabuse.gov/

    • College Drinking—Changing the Culture

      http://www.collegedrinkingprevention.gov/


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