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

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Getting Help For Yourself Or Your Friend

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Getting help for yourself or your friend

Getting Help For Yourself Or Your Friend


Emotional health 101

EMOTIONAL HEALTH 101

Play Video 1


First rules

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

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

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

    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


    Getting help for yourself or your friend

    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

    ANXIETY

    Play Video 2


    Anxiety1

    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

    DEPRESSION

    Play Video 3


    Depression1

    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


    Depression2

    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

    • 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

    BOTTOM LINE

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


    Psychosis

    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 line1

    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)


    Getting help for yourself or your friend

    PROBLEMS IN BEHAVIOR

    • Obsessive/Impulsive Behaviors

    • Substance Abuse

    • Self Harm


    Compulsive impulsive behavior problems

    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

    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

    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

    HOW YOU CAN HELP

    Play Video 4


    Alcohol misuse

    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

    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 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

    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

    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

    HELPING A FRIEND

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

    • Listening Skills

    • How to Help


    How you can help1

    HOW YOU CAN HELP

    Play Video 5


    How do you know

    HOW DO YOU KNOW?

    • Look for CHANGE

    • Changesin:

      • Self-care

      • Dress

      • Eating

      • Sleeping

      • Social interactions

      • Patterns of substance use


    Too much or too long

    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

    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

    HOW TO HELP A FRIEND

    Play Video 6


    How you can help2

    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

    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

    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

    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 resources1

    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 resources2

    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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