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Archive for the ‘depression’ Category

TEENAGE SUICIDE: PREVENTION: HOW TO ASK YOUR TEENAGER ABOUT SUICIDE (PART 4)

Wednesday, November 19th, 2014

WHAT SHOULD I DO WHEN I NOTICE SOME WARNING SIGNS?
(part 1; part 2; part 3)

Many parents fear asking their child about suicide thinking that by asking they might give their teenager some ideas or perhaps plant a thought in their head that may be acted upon later. As result they never ask and end up surprised! Don’t be that kind of parent, ask your teenagers about suicide. Questions never killed anyone, if anything the question will let your teenager know you care. However, don’t forget that relationship is always the key to getting good information. So if you want to get the truth from your child you will need to approach them with great care and loads of respect. Chances are you will have earned the right to ask them about suicide because you have been working hard to connect with them over the past few weeks and months by meeting them right where they are and taking the time to really listen (without judgment and without pressure) to what has been going on in their life.

HERE ARE SOME THINGS TO THINK ABOUT WHEN ASKING ABOUT SUICIDE:
First, take a deep breath and try to stay calm. Of course there is a chance that when you ask them if they have ever thought about suicide that they will say yes. This “yes” may be one of the scariest “yes’s” you have ever heard and you will need to be prepared for the emotional impact this has on you. No parent ever wants to hear about their child having considered suicide, but don’t forget that you are not alone; many other parents have gone before you and survived.

Second, once you have calmed down you will need to try your best to ask about the following 4 things (White, 1999): (Remember, you are not a mental health professional and no one expects you to be, however, having more information is going to be really helpful when trying to help your teenager cope with this stuff both now and in the future).

STUFF TO ASK ABOUT:
IDEATION: Thinking about suicide and planning your death are two different things. Studies have found that 20-30% of teenagers will report experiencing thoughts of suicide at some point during their teenage years (Brener, Krug, Simon, 2000; Kandel, Raveies, & Davies, 1991). While these numbers are alarmingly high, it would seem that thoughts about suicide are fairly common during the teenage years, so you will need to be ready to deal with them.

INTENT: As stated above thinking about suicide and wanting to die are two different things, however they always need to be assessed together. When your teenager tells you that they have thought about suicide your next question needs to be about motivation; do they want to die?

MOTIVATION: By asking about their intentions you are attempting to figure out if they really want to die, are attempting to manipulate, are crying out for help, or have some other reason for wanting to die (White, 1999). Remember, that just because they maybe attention seeking or manipulating does not mean that they are not a serious risk! In most cases they will say “no” when asked about motivation, however its fairly common for someone who has experienced thoughts of suicide to be somewhat ambivalent about their desire to die; a part of them wants to die, yet another part of them doesn’t. Helping them resolve this conflict may be the key to keeping them safe.

Here are some questions you could ask to assess INTENT (White, 1999):

“Why do you want to die?
“What are the contents of your thoughts?”
“What does death mean to you?”
“How long have you been thinking about hurting yourself?”
“How frequent and persistent are the thoughts?”
“Are you pre-occupied or obsessed with the idea of killing yourself?”
“Can you control your thoughts?”

PLAN:
Having a plan is often the most important part of determining what is going on with your teen. Suicide can occur without a well thought out plan, however most individuals experiencing thoughts and intentions will often very quickly arrive at a plan. Some will spend days, even weeks, planning their attempt without telling a soul.

Questions to ask yourself in addressing your teenager’s plan (White, 1999):

How far has the adolescent developed the plan?
When is the proposed plan going to occur?
How specific is the plan? (place, time, method)
Is the plan effective and feasible?
Is the adolescent’s chosen method lethal?
Will he/she have access to the chosen means when he/she needs it?
Does he/she know how to use the means?
Has he/she rehearsed his plan?
Has he/she taken precautions to avoid rescue?

METHODS AND MEANS:
When asking about your teen’s plan you will want to try and figure out just how plausible their plan appears to be. While every suicidal thought, intent, and plan should be taken very seriously and properly addressed by a competent mental health professional, some plans need to be taken much more seriously than others. The more lethal the means the more dangerous your teenager might be.

The 4 most common means of teenage suicide are:

Guns: Firearms typically account for about 60% of all completed suicides in the United States and any suicidal thought or plan that incorporates their use needs to be taken very seriously!
Cars: While there does not appear to be any statistics regarding teenager’s use of cars as a means of suicide, it is safe to say that not every death by auto accident is an “accident.”
Drugs: Drug overdose is very common in western culture and many, if not most, of the suicide attempt victims I have worked with decided to kill themselves by taking a handful of pills, or combine pills with alcohol.
Combination of all three

When asking about METHODS and MEANS you need to ask about two things:

ACCESS: Does your teen have access to the tools they are planning to use? Consider guns, knives, explosives, belts, ropes, sheets, medications (prescription and over the counter), drugs and of course alcohol.
KNOWLEDGE: You will need to find out how much your teen knows about the means they have mentioned. Do they even know how to use a gun? Do they know how to hang themselves? Etc.

PLEASE REMEMBER…Any person who is experiencing thoughts of suicide needs to be assessed by a mental health professional as soon as possible!

***Any advice given on this website is offered in generic form. In other words, all of our site visitors have unique qualities that play a role in their personal mental health. We do not know you personally and can therefore not take into consideration these qualities when offering advice, and do not claim to do so. All information provided on this site is designed to support, not replace, the relationship that exists between a patient/site visitor and his/her existing psychologist, mental health professional, teacher, or professor.***

REFERENCES:
Brener, N. D., Krug, E. G., Simon, T. R. (2000). Trends in suicide ideation and suicide behavior among high school students in the United States, 1991-1997. Suicide & Life-Threatening Behavior, 30, 304-312.
Kandel, D. B., Raveis, V. H., & Davies, M. (1991). Suicidal ideation in adolescence: Depression, substance use, and other risk factors. Journal of Youth and Adolescence, 20, 289-309.
White, T. W. (1999). How to identify suicidal people: A systemic approach to risk assessment. The Charles Press Publishers, Inc., PA.

by Joe James, Psy.D.
other articles on teens

Is My Child Depressed?

Thursday, November 13th, 2014

It is difficult to know how many children (pre-teens) suffer from depression. The National Institute of Mental Health (NIMH) estimates that, at any given time, 11% of children under the age of 18 meet the diagnostic criteria for Depression. We know that girls are more likely than boys to suffer from depression and that the risk increases as the child becomes older. But these numbers include teenagers; it is hard to find statistics for children from pre-K through age 12.

According to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) the symptoms of a Major Depressive Episode include:

  • Depressed or irritable mood most of the day.
  • Loss of pleasure in activities.
  • Significant weight loss weight gain.
  • Insomnia or hypersomnia nearly every day.
  • Psychomotor agitation or retardation nearly every day.
  • Fatigue or loss of energy nearly every day.
  • Feelings of worthlessness guilt.
  • Diminished ability to think or concentrate, or indecisiveness.
  • Recurrent thoughts of death (not just fear of dying), suicidal thoughts either with or without a specific plan, or a suicide attempt.

Adults and teens can talk about how they feel. The younger the child, the less they are able to verbalize feelings of hopelessness, helplessness, and sadness. Instead, children act out their feelings instead of talking about them.

The depressed child may be more irritable and angry than sad. They may be clingy, sulky, or grouchy. It was once thought that all depressed children hid or masked their depression with anger, but we now know that some kids do indeed look sad and blue.

The main things to look for are:

1. Changes in social activities.
2. Loss of interest in school.
3. Changes in academic performance.
4. Physical complaints such as headaches or stomachaches that don’t respond to treatment.
5. Crying spells for no or little apparent reason.

Treatment options for depressed children are the same as for adults – counseling and medication. For children, we are more likely to recommend family counseling than individual counseling. Medications may be helpful but generally we want to try counseling first and are slower to refer to a physician for medication.

written by G. Bowden McElroy, M.Ed.
www.BowdenMcElroy.com
more articles on depression

 

TEENAGE SUICIDE: PREVENTION: WHAT TO LOOK FOR (PART 3)

Wednesday, November 5th, 2014

WARNING SIGNS!! LOOK FOR WARNING SIGNS!
(part 1; part 2)

SIGNIFICANT CHANGE IN “NORMAL” BEHAVIOR:
While there are occasions when someone may significantly hurt him or herself “out of the blue”, most cases involve warning signs. The problem is that most of us don’t notice them! There are a few things you can be looking for. First, and foremost is a significant change in behavior, such as increased drug use, moodiness that appears to be over and above “normal”, withdrawal from either friends or family, and an increase in impulsive high-risk behaviors (Debski et al., 2007).

Perhaps most common is the proverbial “change in friends.” Rather than spending time with the friends your teenager has had since the 5th grade, he or she may begin to bring some “new” kids over to the house. While it is good for your teenager to branch out, meet new people and make new friends, most often this group of friends is the one your parents told you about when you were a teenager. They look and act in a manner inconsistent with your values and will often result in you making statements like “I just don’t like his friends” and “things really started to change when ‘so and so’ started coming around.” While a significant change in friends does not mean your teenager is thinking about suicide, this change often comes with many of the other warning signs such as doing drugs, the onset of a depressed mood, a drop in school performance, and run-in’s with the police.

SUICIDAL STATEMENTS:
Second, making statements about suicide or expressing some type of preoccupation with death should be taken seriously. For some these types of behaviors can become so common that you may begin to ignore them. If you find this to be the case, please consult a mental health specialist immediately. Suicidal statements, even those that are passive in nature (ie. “you guys would be better off without me”), need to be taken seriously and addressed directly. Some studies have found that as many as 83% of teenagers who successfully killed themselves made a verbal threat to do so during the week prior to completion (Brent, 1995, as cited by Rubin, Wainrib, & Bloch, 1998).

SYMPTOMS OF DEPRESSION:
Because depression is so closely related to suicide, the symptoms of depression should be closely monitored. Symptoms include (Debski et al., 2007):

Major changes in eating or sleeping habits (too much or too little of either)
Expressions of hopelessness, guilt, shame, or worthlessness
Intense anger toward self and/or others
Drop in school performance
Loss of interest in usual activities (ie. quiting the football team)

SELF-HARMING OR CUTTING:
Studies have shown that teenagers who deliberately hurt themselves (i.e. cutting) are 4 to 10 times more likely to die (Goldachre, & Hawton, 1985; Hawton & Harris, 2007, both as cited by Hargus, Hawton, & Rodham, 2009) and as many as 70% of teenagers who reported an act of self-harm also reported at least one suicide attempt (55% reported multiple attempts) (Nock, Joiner, Gordon, Lloyd-Richardson, & Prinstein, 2006, as cited by Hargus, Hawton, & Rodham, 2009). That is pretty alarming! You should take self-harming behaviors very seriously.

Significant changes in behavior, making suicidal statements, symptoms of depression, and cutting/self-harm are all behaviors that can very easily get “lost” in the day to day busyness of life. That is why it is so important for you to do what you can to connect with your teenager on a regular basis. Your teenager doesn’t need you to breath down their neck (and most likely will let you know this on regular basis) but they most definitely need and want the adults in their life to show them that they care.

***Any advice given on this website is offered in generic form. In other words, all of our site visitors have unique qualities that play a role in their personal mental health. We do not know you personally and can therefore not take into consideration these qualities when offering advice, and do not claim to do so. All information provided on this site is designed to support, not replace, the relationship that exists between a patient/site visitor and his/her existing psychologist, mental health professional, teacher, or professor.***

REFERENCES:

Debski, J., Spadafore, C. D., Jacob, S., Poole, D., & Hixon, M. D. (2007). Suicide intervention: Training, roles, and knowledge of school psychologists. Psychology in the Schools, 44(2), 157-170.

Hargus, E., Hawton, K., Rodham, K. (2009). Distinguishing between subgroups of adolescents who self-harm. Suicide & Life-Threatening Behaviors, 39(5), 518-537.

Rubin Wanrib, B., Bloch, E. L. (1998). Crisis intervention and trauma response: Theory and response. Springer Pub, NY.

White, T. W. (1999). How to identify suicidal people: A systemic approach to risk assessment. The Charles Press Publishers, Inc., PA.

by  Joe James, Psy.D.

(more articles on teenagers)

TEENAGE SUICIDE: PREVENTION: WHAT TO LOOK FOR (Part 2)

Wednesday, September 17th, 2014

BROKEN RELATIONSHIPS: LOSS OF A BOYFRIEND OR GIRLFRIEND
(part 1 can be found here)

Chronic health problems or long-term personal issues often trigger adult suicide attempts. Teenage suicide attempts are often triggered by problems in relationships; especially significant “break ups” or major disruptions in relationships with close friends or family members. When relationships end it can be very difficult, even under the best of circumstances, so when your teenager looses their boyfriend or girlfriend it can be very traumatic, especially if they have emotionally invested a lot of themselves in the relationship. For many teenagers their relationship with their significant other is viewed as the “best thing that ever happened” to them. Consequently, when this relationship is lost you may need to treat it as such. This may be really hard to understand as an adult because so often we are tempted to see these relationships as “childish” or “just a phase.”

Parents of suicidal teenagers often overlook the loss of this kind of relationship. For some it is because the teenager has kept the relationship a secret. For others it is simply because parents often underestimate the power of these young relationships over their child. The answer to this problem is awareness. Parent getting and staying connected with their kids; parents earning the right to talk with their teenagers about their “love life” by meeting and loving their child as they are, listening well, and communicating a genuine sense of love and care that transcends the felt need to lecture and coerce.

BROKEN RELATIONSHIPS: LOSS OF FREINDS
Problems in school seem to be a pretty common theme with teenagers and suicide attempts; problems with grades and performance, of course, but perhaps more are their relationships with friends (White, 1999). As a parent you send your kids to school to get an education, but an education is only half of what they receive. Peer relationships are vital to your child’s development, however; as you may already know, teenage peer relationships can be very complicated. Social blunders often overlooked in the adult world are exploited by teenagers and used as a means of singling out certain individuals and targeting them for social punishment. Time and again I have worked with teenagers who made a mistake, made someone else angry, or hurt a specific person’s feelings and subsequently were socially destroyed; targeted, attacked and essentially “kicked out” of their group of friends. As a result many teenagers will begin to feel rejected, lonely, hopeless, and worthless.

BROKEN RELATIONSHIPS: FAMILY FIGHTS
A significant breach in the relationship between a parent and a child can be devastating at any age. Family fights are often the trigger of suicide attempts and need to be handled with care (White, 1999). May of the parents of suicidal teenagers I work with often appear surprised when I inform them that abuse (physical, emotional, and sexual) is often associated with suicide attempts. Perhaps this is due to the dramatic nature of abuse as a very “messy subject” and inability to cope with their child being abused. However, abuse, in all its forms, is often a trigger of suicidal thoughts and cannot be overlooked. Also the loss of a significant family member, especially a parent, through death, divorce, or abandonment can be a major trigger. Many times teenagers (and children) will begin to think that they were the reason their parent is gone, blaming themselves for their situation in a manner in which they will begin to struggle with feelings of self-hatred and self-destruction.

OTHER TRIGGERS TO BE AWARE OF:

  • Use and/or abuse of drugs and alcohol (some drugs can trigger this kind of stuff)
  • Feeling hopeless, alone, or alienated
  • Recent suicide of a friend, family, or role model
  • Legal problems
  • Moving
  • Failure
  • Access to a weapon (White, 1999)

***Any advice given on this website is offered in generic form. In other words, all of our site visitors have unique qualities that play a role in their personal mental health. We do not know you personally and can therefore not take into consideration these qualities when offering advice, and do not claim to do so. All information provided on this site is designed to support, not replace, the relationship that exists between a patient/site visitor and his/her existing psychologist, mental health professional, teacher, or professor.***

REFERENCES:

White, T. W. (1999). How to identify suicidal people: A systemic approach to risk assessment. The Charles Press Publishers, Inc., PA.

by Joe James, Psy.D.
other articles on teens

TEENAGE SUICIDE: WHAT TO LOOK FOR

Thursday, September 11th, 2014

Unfortunately teenage suicide is relatively common. It is the 3rd leading cause of death among teenagers (White, 1999), with thoughts of suicide occurring in as many as 29% of teens, 19% having made a plan, and as many as 8% having attempted (Brener, Krug, Simon, 2000; Kandel, Raveis, & Davies, 1991). Dealing with teenage suicide can be very difficult because it is affected by many factors that can change quickly making prediction very, very difficult. Adults and parents tend to downplay self-destructive behavior stating “its normal”, “I did the same thing when I was a kid”, and “they don’t mean it, they just want attention.” This kind of thinking can be a big mistake (White, 1999).

SO WHAT SHOULD YOU BE LOOKING FOR?
TEENAGE DEPRESSION
First and foremost, you need to be on the look out for symptoms of teenage depression. Teenage depression often looks a little different; irritability and aggression appear to be more common, especially in boys. Also a depressed teen may struggle with acting without thinking first. Depression accounts for up to ½ of all serious suicide attempts and needs to be taken seriously (Fergussion et al., 2003).
Depression often shows up in teenagers as:

  • Sleep disturbance (sleeping too much or too little)
  • Difficulty concentrating
  • Feeling of hopelessness
  • Change in eating habits (eating too much or too little)
  • Hyperactivity or loss of energy
  • Serious risk taking
  • Change in school performance
  • Thoughts of suicide or other morbid preoccupations
  • Adolescents may also present with significant irritability, sexuality, and physical symptoms (stomach pain, headaches etc.) (White, 1999)

Many of these symptoms of depression may come and go, that’s normal, however when a few of them come around and seem to have trouble leaving for a week or two something is up and action may need to taken to protect your child. Also, please know that prior suicide attempts place your child in a very high-risk category and you will need to speak with a mental health specialist regarding enacting an adequate Safety Plan to ensure your teenagers safety.

FAMILY PROBLEMS
Second, you need to be looking for problems in your family that may be upsetting your teen such as:

  • Teenage or family history of abuse (physical, emotional, and especially sexual)
  • Low levels of family connection (ie. poor relationships with parents, severe conflict with siblings)
  • Significant changes in the family such as a parental divorce or separation, a major move to a new location, or the death of a loved one
  • Family violence
  • Parental drug and alcohol abuse
  • Parental contact with the law
  • Family history of suicide (Debski et al., 2007)

***Any advice given on this website is offered in generic form. In other words, all of our site visitors have unique qualities that play a role in their personal mental health. We do not know you personally and can therefore not take into consideration these qualities when offering advice, and do not claim to do so. All information provided on this site is designed to support, not replace, the relationship that exists between a patient/site visitor and his/her existing psychologist, mental health professional, teacher, or professor.***

REFERENCES
Brener, N. D., Krug, E. G., Simon, T. R. (2000). Trends in suicide ideation and suicide behavior among high school students in the United States, 1991-1997. Suicide & Life-Threatening Behavior, 30, 304-312.

Debski, J., Spadafore, C. D., Jacob, S., Poole, D., & Hixon, M. D. (2007). Suicide intervention: Training, roles, and knowledge of school psychologists. Psychology in the Schools, 44(2), 157-170.

Fergusson, D. M., Beautrais, A. L., & Horwood, L. J. (2003). Vulnerability and resiliency to suicidal behaviors in young people. Psychological Medicine, 33, 61-73.

Kandel, D. B., Raveis, V. H., & Davies, M. (1991). Suicidal ideation in adolescence: Depression, substance use, and other risk factors. Journal of Youth and Adolescence, 20, 289-309.

White, T. W. (1999). How to identify suicidal people: A systemic approach to risk assessment. The Charles Press Publishers, Inc., PA.

by  Joe James, Psy.D.

(more articles on teenagers)

What Causes Depression

Wednesday, September 3rd, 2014

There is no single known cause of depression. Rather, it likely results from a combination of a number of factors. Psychology textbooks like to talk about “nature versus nurture”: are people’s problems the result of genetics and brain chemistry (nature) or the result of family environment, life experiences, and choices (nurture)? The truth is that nearly all of human experience is some combination of both.

 

Depression is no different. If you ask your family doctor, she might tell you that depression is a “chemical imbalance”: there are not enough serotonin or dopamine molecules hanging around in your brain waiting to be used. The solution for a chemical imbalance is – medication.

A counselor might tell you that depression is the result of distorted or negative thinking. If you want to change how you feel, you have to change how you think.

The best research indicates that depression does affect the way the brain works. New technologies have shown that the brains of people who are depressed look different than those of people without depression. The parts of the brain responsible for regulating mood, thinking, sleep, appetite and behavior appear to function abnormally. We also know that people who are depressed view the world in globally negative terms.

So which came first?  Did brain chemistry create negative thinking?  Or, did negative cognitions change the chemical make-up of the brain?  How we think – what we say to ourselves – can lead to a chemical imbalance. Likewise, not enough neurotransmitters in the brain can cause us to see the world as completely negative.

The best thing one can do for mild or moderate depression is to work on changing perceptions and self-talk. For severe depression, a combination of anti-depressant medication and counseling may be in order.  If I had to choose one or the other, I would pick counseling… medication may help me function more effectively, but – in the end – it won’t change what I say to myself.

-G. Bowden McElroy, M.Ed.

(for additional articles on depression: click here)

8 Things To Do to Help Beat Depression

Monday, July 22nd, 2013

beat-depressionImprove the quality of your life by taking control of depression before it takes control of you.
Depression can sometimes be managed with a few techniques. A few suggestions to try when you
begin to feel down include:

1.  Pay Attention to Your Self-Talk. Stop reminding yourself of all the things presently going wrong. Instead, conjure up memories from happier times. Remember that thought content = Mood.

2. Stop the negative thinking. Thought stopping is a simple technique
to learn and is very effective in redirecting negative thoughts. A counselor can help you learn this helpful tool.

3. Avoid social isolation. Spend time with people you enjoy, those who care about you. Many people also enjoy interacting with a pet to help lift their low mood.

4. Focus on one day at a time. Remind yourself that this is a temporary emotional state that will pass.

5. Write a Gratitude Journal. At the end of each day, list five things you are grateful for. Read through your journal throughout the day if necessary.

6. Get Active. Exercise is beneficial in reducing body tension, improving sleep, increasing energy and decreasing stress. Being outdoors often helps elevate your mood; so take a walk, ride
a bike, or simply sit on the porch and enjoy God’s creation.

7. Eat healthy! Sugar effects depression and irritability. Eating right will help you feel better, give you more energy, and help you look better too (which will likely raise self-esteem).

8. Enlist the help of a trusted person to help you monitor the depression and give you feedback on what they observe. If you can’t shake free of the depression, seek assistance from a professional counselor.

-Lois Trost

Lois Trost headshot

Holiday Family Challenges

Monday, November 12th, 2012

The holidays are stressful in many ways.  The increase in activities, shopping, travel, and extra costs are only the beginning of the list of stressors.   Holidays are also filled with increased family stressors, such as:

–       Increased family expectations to spend time together

–       Pressure to conform to family traditions

–       Seeing family members who may be kept at arms-length during the rest of the year

–       Reminders of family members who have died

–       Exposure to increased alcohol consumption among some family members

–       Children spending time out of school and at home

–       Reminders of family hurts and disappointments

–       Increased dealings with extended family and in-laws

Even the healthiest of families contain personalities and family members whose personal values clash, or where some family members’ behavior is difficult to be near. These pressures contribute to breakdowns in communication and increased conflict.

We strive to establish comfortable levels of distance and boundaries during the year.  This often collapses around the holidays when we change our routines and increase contact with our extended family.  Intrusions and offenses increase.  Occasionally, these gatherings result in conflict that includes unpleasant escalations and hurtful words.

Though it is probably impossible for most of us to eliminate family stresses and conflicts altogether, there are some ways to reduce stress.  Consider some of the following options:

–       Parents, prior to making holiday plans, can reconsider and re-negotiate what is best for their family, rather than simply doing the same things that have been expected in the past.

  • When visiting conflict-prone family members, make visits shorter
  • When traveling out of town, consider motels rather than cramming large numbers of people into small spaces.  This also allows for some private times to de-stress.
  • Some family confrontations are predictable.  It’s okay to intentionally plan to avoid unproductive and vulnerable situations.
  • When stressors and conflicts are building during a visit, go for a walk or a drive with safe people to decompress.

–        When unresolved conflicts with family members can be identified in advance, be pro-active.  Consider your best conflict-resolution skills and plan to use them in advance of holiday get-togethers.  When you have made your best effort to seek peace with problem family members and it hasn’t worked, consider consulting an expert on family conflict.  They may be able to suggest tools you may not have considered, or they may be able to mediate civil conversations (at CFI we frequently mediate conflicts over the holidays and any time during the year.)

–       If you have lost a significant family member recently, make time to celebrate and honor that person.  Do it in a way that is most meaningful to you.

–       Make the reason for the season central to your family get-togethers.  Christmas is about Christ and His great gift of His life to us through his birth on earth.  Even when surrounded by others who may not share your faith, renew your own celebration of Christ with those who do share your faith.  Pick out verses from scripture that speak to your situation and that assist you to have a fresh perspective and renewed mind, such as:

  • Regarding Christmas:
    • The Christmas Story from Matthew 1
  • The importance of married people setting limits with family:
    • Genesis 2:24 (NIV)  For this reason a man will leave his father and mother and be united to his wife, and they will become one flesh.
  • Dealing With Anger and Conflict:
    • Proverbs 15:1  (NLTSE)  A gentle response defuses anger, but a sharp tongue kindles a temper-fire.
    • Proverbs 18:13 (MSG)  Answering before listening is both stupid and rude.
    • Romans 12:18 (NIV)  If it is possible, as far as it depends on you, live at peace with everyone.
    • Proverbs 22:24 (NIV)  Do not make friends with a hot-tempered man, do not associate with one easily angered,
  • The Goal To Love:
    • Ephesians 4:15 (NLTSE) Instead, we will speak the truth in love, growing in every way more and more like Christ, who is the head of his body, the church.
    • I Tim. 1:5 The goal of this command is love, which comes from a pure heart and a good conscience and a sincere faith.
    • I Cor. 13:4-8 (NIV) [4] Love is patient, love is kind. It does not envy, it does not boast, it is not proud. [5] It is not rude, it is not self-seeking, it is not easily angered, it keeps no record of wrongs. [6] Love does not delight in evil but rejoices with the truth. [7] It always protects, always trusts, always hopes, always perseveres.[8] Love never fails.
  • We, like Jesus, need time to reflect, refresh, and pray:
    • Mark 1:35 (NIV)  Very early in the morning, while it was still dark, Jesus got up, left the house and went off to a solitary place, where he prayed.
  • Finding Peace in Even the Most Stressful  Circumstances:
    • Phil. 4:4-8 [4] Rejoice in the Lord always. I will say it again: Rejoice! [5] Let your gentleness be evident to all. The Lord is near. [6] Do not be anxious about anything, but in everything, by prayer and petition, with thanksgiving, present your requests to God. [7] And the peace of God, which transcends all understanding, will guard your hearts and your minds in Christ Jesus.[8] Finally, brothers, whatever is true, whatever is noble, whatever is right, whatever is pure, whatever is lovely, whatever is admirable—if anything is excellent or praiseworthy—think about such things. [9] Whatever you have learned or received or heard from me, or seen in me—put it into practice. And the God of peace will be with you.

Merry Christ-mas!

Dale R. Doty, Ph.D.

Does Exercise Help Treat Depression?: A Response to The Atlantic’s Study of the Day

Thursday, July 12th, 2012

Republished from www.drtimdoty.com

The Atlantic Study of the Day for July 10, 2012 summarizes an article that was published in the

British Medical Journal: “Facilitated Physical Activity as a Treatment for Depressed Adults: Randomised Controlled Trial.”

The Atlantic’s article title, summary, and conclusions are misleading.  The Atlantic reports that the study either provided medical treatment (i.e. pharmacological prescription) plus encouragement to exercise, or encouragement to exercise ONLY.  The group that took part in exercise ONLY, were not much better off at the end of the study as it pertains to depression. Nowhere in the study was any form of talk therapy or counseling included.  Also, as a measure of depression, the Beck Depression Inventory is a useful clinical tool, but perhaps not sensitive enough to pick up on nuanced changes in one’s depression from time to time.

My advice…if you are struggling with depression, the best course of action is to seek out talk therapy with a trusted therapist and increase activities that allow our bodies’ neurochemicals to become more balanced:  such as, regular exercise, good sleep hygiene, and well-balanced diet.  Included in talk therapy, I think it is helpful for individuals struggling with depression to take a look at their broader social connections and increase relational satisfaction.  So, in conclusion, I am not terribly surprised that exercise ALONE did not cure depression, but exercise in combination with an individualized, guided approach to treatment is healthy and helpful.

Dr. Tim Doty

FAQ: Why do Christians get depressed?

Monday, June 20th, 2011

Christians are not immune to depression.  Christians face the same challenges as non-Christians.  Depression can affect anyone, at any age, race or ethnic group.  According to the National Institute for Mental Health, clinical depression affects more than 19 million Americans each year.  Some Christians do not seek help for depression when prayer alone has not led to relief.  Spiritual factors may not be the only contributing factor to one’s experience of depression.  Christian Family Institute specializes in treating the spiritual, emotional, and mental health needs of individuals, couples and families.