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Prevention is Intervention
Denise Kan, MSW, LMSW, RSW
Richmond Hospital
June 6, 2015
2015 MENTAL WELLNESS
SCREENING, EDUCATION DAY, &
CHINESE SOCIAL SERVICE
EXHIBITION
1
DEPRESSION
2
11 MYTHS ABOUT DEPRESSION
• Depression and Sadness are one and the same
• Depression is a sign of weakness
• Depression isn’t a real illness
• Depression is all in your head
• Depression is always brought on by traumatic life events
• Depression is contagious
• If your parents have it, you will, too
• Real men don’t get depressed
• An antidepressant is all you need to feel better
• You will need medication for the rest of your life
• Talking about depression only makes it worse
3
WHAT IS DEPRESSION?
• Depression is a common mental disorder
• Characterized by sadness, loss of interest or pleasure
• Feelings of guilt of low self-worth
• Disturbed sleep or appetite
• Feelings of tiredness and poor concentration
• Impairing a person’s ability to function at work or at school, or
cope of daily life
• In severe cases, depression can lead to suicide
• Depression often starts at a young age
- Definition by WHO
4
DIFFERENT TYPES OF DEPRESSION
• Major Depressive Disorder
• Dysthymic Disorder
• Postpartum Depression
• Seasonal Affective Disorder (SAD)
• Substance/Medication Induced Depressive Disorder
• Premenstrual Dysphoric Disorder (New to DSM 5)
• Disruptive Mood Dysregulation Disorder (New to DSM 5)
• Bipolar Disorder (New category on its own in DSM 5)
5
COMMON SYMPTOMS OF DEPRESSION
PHYSICAL :
• Tiredness or Fatigue
• Disturbed sleep
• Disturbed appetite
• Change in weight
• Muscle pain
• Gastrointestinal problems
• Headache
• Loss of sexual desire
• And more……..
6
BEHAVIORAL:
• Isolation
• Loss of interest in hobbies and activities
• Neglecting responsibilities
• Restlessness
• Psychomotor impairment
• Engage in addictive/dangerous activities, e.g. gambling,
drinking, illegal drugs….
• Suicidal attempts
• And more……
7
EMOTIONAL:
• Persistent sad, anxious, or “empty” feelings
• Feelings of hopelessness or pessimism
• Feelings of guilt, worthlessness, or helplessness
• Irritability
• Restlessness
• Numbness
• Loneliness
• And more……
8
COGNITIVE:
• Difficulty concentrating
• Difficulty remembering details
• Difficulty making decisions
• Racing thoughts
• Psychomotor impairment
• Suicidal thoughts
• And more………
9
CAUSES OF DEPRESSION
SITUATION:
• Major loss in life, e.g. death of loved one, divorce, moving,
immigration, job loss, war
• Isolation
• Relationship conflicts
• Chronic stress, e.g. health problem, unemployment, parenting
issues
• And more…….
10
THOUGHTS:
• Negative thinking habits
• Harsh self-criticism
• Biases and Distortion
• And more…..
11
ACTION:
• Poor self care
• No rewarding activities
• Socially withdrawal
• Too much responsibility
• And more……..
12
EMOTION:
• Discouragement
• Despair
• Sadness
• Anxiety
• Numbness
• And more……
13
PHYSIOLOGY:
• Chronic disease
• Altered sleep
• Changes in brain chemistry
• Addiction
• And more……
14
TREATMENT AND CARE
MEDICATION:
• What kind of medication works for me?
• How does medication work for me?
• Side effects?
• Dosages?
• How long do I need to take this medication?
• Conflicts with my other medication(s)?
• NEVER STOP taking medication suddenly
• Different medications work for different people
• Certain people benefit from taking medication for a long time
15
PSYCHOTHERAPY:
• Is an effective treatment on clinical depression
• For severe depression, it needs to work with medication and
self care activities
• Reduces stress in your life
• Gives you a new perspective on problem and your depression
• Makes it easier to stick to your treatment
• Helps to catch early signs that your depression is getting worse
• E.g. CT, CBT, Psychodynamic Therapy, EMDR, MBSR, Satir
Therapy, Art Therapy, Group Therapy
16
LIFESTYLE CHANGES:
• Sleep
• Diet, e.g. balanced nutrition, reduce caffeine
• Exercise
• Thinking patterns, e.g. be realistic, open-minded, let it go, praising and
acknowledging yourself
• Social Support
• Stress Reduction, e.g. reduce obligations, plan ahead, get support, KEEP
UP SELF-CARE
17
• Exercise
• Balanced diet
• Beware alcohol and drugs
• Sleep
• Self-compassion
• Connection with community
• Connection with animals
• Humor
• Gratitude / Accepting / Love
• Think “bigger”
• Learning
• Sun
• Nature
• Play
• Prayer
• Meditation
• Yoga
• Tai Chi
• Music
• Aesthetics, e.g. arts, beauty
• Aroma Therapy
• Volunteering
• Reading / Writing
• Curiosity
• And more……
SELF-HELP TIPS TO IMPROVE DEPRESSION
18
ANXIETY DISORDER
19
9 MYTHS ABOUT ANXIETY DISORDER
• Anxiety isn’t a real illness
• Avoiding anxiety-provoking situations is helpful
• Anxiety will get better over time if I just wait it out
• The only people who get anxiety are just naturally nervous
• If you are having panic attack, just get used to it
• A panic attack can make you loss control or pass out
• Someone with anxiety just need a stiff drink and they will be alright
• People who have anxiety just need to relax
• It can take a lifetime to see the results from treatment for anxiety
20
WHAT IS ANXIETY DISORDER?
• Anxiety disorder involves more than temporary worry
or fear
• The anxiety does not go away and can get worse
over time
• The anxiety feelings can interfere with daily activities
such as job performance, school work, and
relationships.
- Definition by National Institution of Mental Health
21
DIFFERENT TYPES OF ANXIETY DISORDER
• Panic Disorder
• Agoraphobia
• Phobia (Specific)
• Social Anxiety Disorder (Social Phobia)
• Generalized Anxiety Disorder (GAD)
• Obsessive Compulsive Disorder (OCD)
(New category on its own in DSM 5)
• Post-traumatic Stress Disorder (PTSD)
(New category on its own in DSM 5)
22
RESPONSE TO ANXIETY
THOUGHTS:
• I am in danger
• The worst possible scenario is going to happen
• I won’t be able to cope with it
• And more……
23
PHYSICAL SENSATIONS – The Adrenaline Response:
• Heart racing
• Breathing gets faster
• Muscles tense
• Sweating
• Pupils dilate
• Digestive system slows down
• More alert
24
BEHAVIORS:
• Avoid people or places
• Not going out
• Going to certain places at certain time
• Only going with someone else
• Escape, leave early
• Go to the feared situation, but use coping behaviors like self
talk, smoking, avoiding eye contact, medication…etc. to get
through the situation
25
WHO DOES ANXIETY DISORDER AFFECT?
• Gender
- Women to Men 2:1
• Age
- Most often appear in youth
• Personal factors
- Shy, perfectionists are more prone to anxiety disorder
• Family history
• Social factors
• Occupational risks
- e.g. Emergency personnel, military personnel
• Chronic illnesses
26
COMMON SYMPTOMS OF ANXIETY DISORDER
27
PHYSICAL:
• Muscle tension
• Hot or cold flushes
• Sweating
• Tightening of the chest
• Chest pain
• Racing heart
• Shortness of breath
• Dizziness
• Dry mouth
• Nausea
• Gastrointestinal problems
• Disturbed sleep
• Fatigue
28
BEHAVIORAL:
• Avoidance
• Restlessness
• Compulsive behaviors
• Hypervigilance
• Self-medication
• Addiction
• And more……
29
EMOTIONAL:
• Excessive worry or fear
• Irritable
• Shame
• Shyness
• Embarrassment
• Angry
• And more……
30
THINKING:
• Trouble concentrating
• Poor memory
• Hard to make decisions
• Racing thoughts
• Obsessive thoughts
• Anticipating the worst
• Feeling like your mind goes blank
• Nightmare
• Suicidal thoughts
• And more……
TREATMENT AND CARE
MEDICATION:
• What kind of medication works for me?
• How does medication work for me?
• Side effects?
• Dosages?
• How long do I need to take this medication?
• Conflicts with my other medication(s)?
• NEVER STOP taking medication suddenly
• Different medications work for different people
• Certain people benefit from taking medication for a long time
31
PSYCHOTHERAPY:
• Is an effective treatment on anxiety disorder
• For severe anxiety disorder, it needs to work with medication and
self care activities
• Reduces stress in your life
• Gives you a new perspective on problem and your anxiety
disorder
• Makes it easier to stick to your treatment
• Helps to catch early signs that your anxiety disorder is getting
worse
• E.g. CBT, Exposure Therapy, EMDR, MBSR, ACT, Satir Therapy,
Art Therapy, Group Therapy
32
LIFESTYLE CHANGES:
• Sleep
• Diet, e.g. balanced nutrition, reduce caffeine
• Exercise
• Relaxation exercise, e.g. progressive muscle relaxation, meditation
• Thinking patterns, e.g. be realistic, open-minded, let it go, praising and
acknowledging yourself
• Social Support
• Stress Reduction, e.g. reduce obligations, plan ahead, get support, KEEP
UP SELF-CARE
33
• Exercise
• Balanced diet
• Beware alcohol and drugs
• Sleep
• Self-compassion
• Connection with community
• Connection with animals
• Humor
• Gratitude / Accepting / Love
• Think “bigger”
• Learning
• Sun
• Nature
• Play
• Prayer
• Meditation
• Yoga
• Tai Chi
• Music
• Aesthetics, e.g. arts, beauty
• Aroma Therapy
• Volunteering
• Reading / Writing
• Curiosity
• And more……
SELF-HELP TIPS TO IMPROVE ANXIETY DISORDER
34
35
Denise Kan, MSW, LMSW, RSW
Phone: 778-865-7710
Email: denise.DKCounselling.com
Web: DKCounselling.com
THANK YOU

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PowerPoint of Mental Wellness Screening and Education Day - Depression & Anxiety (English)

  • 1. Prevention is Intervention Denise Kan, MSW, LMSW, RSW Richmond Hospital June 6, 2015 2015 MENTAL WELLNESS SCREENING, EDUCATION DAY, & CHINESE SOCIAL SERVICE EXHIBITION 1
  • 3. 11 MYTHS ABOUT DEPRESSION • Depression and Sadness are one and the same • Depression is a sign of weakness • Depression isn’t a real illness • Depression is all in your head • Depression is always brought on by traumatic life events • Depression is contagious • If your parents have it, you will, too • Real men don’t get depressed • An antidepressant is all you need to feel better • You will need medication for the rest of your life • Talking about depression only makes it worse 3
  • 4. WHAT IS DEPRESSION? • Depression is a common mental disorder • Characterized by sadness, loss of interest or pleasure • Feelings of guilt of low self-worth • Disturbed sleep or appetite • Feelings of tiredness and poor concentration • Impairing a person’s ability to function at work or at school, or cope of daily life • In severe cases, depression can lead to suicide • Depression often starts at a young age - Definition by WHO 4
  • 5. DIFFERENT TYPES OF DEPRESSION • Major Depressive Disorder • Dysthymic Disorder • Postpartum Depression • Seasonal Affective Disorder (SAD) • Substance/Medication Induced Depressive Disorder • Premenstrual Dysphoric Disorder (New to DSM 5) • Disruptive Mood Dysregulation Disorder (New to DSM 5) • Bipolar Disorder (New category on its own in DSM 5) 5
  • 6. COMMON SYMPTOMS OF DEPRESSION PHYSICAL : • Tiredness or Fatigue • Disturbed sleep • Disturbed appetite • Change in weight • Muscle pain • Gastrointestinal problems • Headache • Loss of sexual desire • And more…….. 6
  • 7. BEHAVIORAL: • Isolation • Loss of interest in hobbies and activities • Neglecting responsibilities • Restlessness • Psychomotor impairment • Engage in addictive/dangerous activities, e.g. gambling, drinking, illegal drugs…. • Suicidal attempts • And more…… 7
  • 8. EMOTIONAL: • Persistent sad, anxious, or “empty” feelings • Feelings of hopelessness or pessimism • Feelings of guilt, worthlessness, or helplessness • Irritability • Restlessness • Numbness • Loneliness • And more…… 8
  • 9. COGNITIVE: • Difficulty concentrating • Difficulty remembering details • Difficulty making decisions • Racing thoughts • Psychomotor impairment • Suicidal thoughts • And more……… 9
  • 10. CAUSES OF DEPRESSION SITUATION: • Major loss in life, e.g. death of loved one, divorce, moving, immigration, job loss, war • Isolation • Relationship conflicts • Chronic stress, e.g. health problem, unemployment, parenting issues • And more……. 10
  • 11. THOUGHTS: • Negative thinking habits • Harsh self-criticism • Biases and Distortion • And more….. 11
  • 12. ACTION: • Poor self care • No rewarding activities • Socially withdrawal • Too much responsibility • And more…….. 12
  • 13. EMOTION: • Discouragement • Despair • Sadness • Anxiety • Numbness • And more…… 13
  • 14. PHYSIOLOGY: • Chronic disease • Altered sleep • Changes in brain chemistry • Addiction • And more…… 14
  • 15. TREATMENT AND CARE MEDICATION: • What kind of medication works for me? • How does medication work for me? • Side effects? • Dosages? • How long do I need to take this medication? • Conflicts with my other medication(s)? • NEVER STOP taking medication suddenly • Different medications work for different people • Certain people benefit from taking medication for a long time 15
  • 16. PSYCHOTHERAPY: • Is an effective treatment on clinical depression • For severe depression, it needs to work with medication and self care activities • Reduces stress in your life • Gives you a new perspective on problem and your depression • Makes it easier to stick to your treatment • Helps to catch early signs that your depression is getting worse • E.g. CT, CBT, Psychodynamic Therapy, EMDR, MBSR, Satir Therapy, Art Therapy, Group Therapy 16
  • 17. LIFESTYLE CHANGES: • Sleep • Diet, e.g. balanced nutrition, reduce caffeine • Exercise • Thinking patterns, e.g. be realistic, open-minded, let it go, praising and acknowledging yourself • Social Support • Stress Reduction, e.g. reduce obligations, plan ahead, get support, KEEP UP SELF-CARE 17
  • 18. • Exercise • Balanced diet • Beware alcohol and drugs • Sleep • Self-compassion • Connection with community • Connection with animals • Humor • Gratitude / Accepting / Love • Think “bigger” • Learning • Sun • Nature • Play • Prayer • Meditation • Yoga • Tai Chi • Music • Aesthetics, e.g. arts, beauty • Aroma Therapy • Volunteering • Reading / Writing • Curiosity • And more…… SELF-HELP TIPS TO IMPROVE DEPRESSION 18
  • 20. 9 MYTHS ABOUT ANXIETY DISORDER • Anxiety isn’t a real illness • Avoiding anxiety-provoking situations is helpful • Anxiety will get better over time if I just wait it out • The only people who get anxiety are just naturally nervous • If you are having panic attack, just get used to it • A panic attack can make you loss control or pass out • Someone with anxiety just need a stiff drink and they will be alright • People who have anxiety just need to relax • It can take a lifetime to see the results from treatment for anxiety 20
  • 21. WHAT IS ANXIETY DISORDER? • Anxiety disorder involves more than temporary worry or fear • The anxiety does not go away and can get worse over time • The anxiety feelings can interfere with daily activities such as job performance, school work, and relationships. - Definition by National Institution of Mental Health 21
  • 22. DIFFERENT TYPES OF ANXIETY DISORDER • Panic Disorder • Agoraphobia • Phobia (Specific) • Social Anxiety Disorder (Social Phobia) • Generalized Anxiety Disorder (GAD) • Obsessive Compulsive Disorder (OCD) (New category on its own in DSM 5) • Post-traumatic Stress Disorder (PTSD) (New category on its own in DSM 5) 22
  • 23. RESPONSE TO ANXIETY THOUGHTS: • I am in danger • The worst possible scenario is going to happen • I won’t be able to cope with it • And more…… 23
  • 24. PHYSICAL SENSATIONS – The Adrenaline Response: • Heart racing • Breathing gets faster • Muscles tense • Sweating • Pupils dilate • Digestive system slows down • More alert 24
  • 25. BEHAVIORS: • Avoid people or places • Not going out • Going to certain places at certain time • Only going with someone else • Escape, leave early • Go to the feared situation, but use coping behaviors like self talk, smoking, avoiding eye contact, medication…etc. to get through the situation 25
  • 26. WHO DOES ANXIETY DISORDER AFFECT? • Gender - Women to Men 2:1 • Age - Most often appear in youth • Personal factors - Shy, perfectionists are more prone to anxiety disorder • Family history • Social factors • Occupational risks - e.g. Emergency personnel, military personnel • Chronic illnesses 26
  • 27. COMMON SYMPTOMS OF ANXIETY DISORDER 27 PHYSICAL: • Muscle tension • Hot or cold flushes • Sweating • Tightening of the chest • Chest pain • Racing heart • Shortness of breath • Dizziness • Dry mouth • Nausea • Gastrointestinal problems • Disturbed sleep • Fatigue
  • 28. 28 BEHAVIORAL: • Avoidance • Restlessness • Compulsive behaviors • Hypervigilance • Self-medication • Addiction • And more……
  • 29. 29 EMOTIONAL: • Excessive worry or fear • Irritable • Shame • Shyness • Embarrassment • Angry • And more……
  • 30. 30 THINKING: • Trouble concentrating • Poor memory • Hard to make decisions • Racing thoughts • Obsessive thoughts • Anticipating the worst • Feeling like your mind goes blank • Nightmare • Suicidal thoughts • And more……
  • 31. TREATMENT AND CARE MEDICATION: • What kind of medication works for me? • How does medication work for me? • Side effects? • Dosages? • How long do I need to take this medication? • Conflicts with my other medication(s)? • NEVER STOP taking medication suddenly • Different medications work for different people • Certain people benefit from taking medication for a long time 31
  • 32. PSYCHOTHERAPY: • Is an effective treatment on anxiety disorder • For severe anxiety disorder, it needs to work with medication and self care activities • Reduces stress in your life • Gives you a new perspective on problem and your anxiety disorder • Makes it easier to stick to your treatment • Helps to catch early signs that your anxiety disorder is getting worse • E.g. CBT, Exposure Therapy, EMDR, MBSR, ACT, Satir Therapy, Art Therapy, Group Therapy 32
  • 33. LIFESTYLE CHANGES: • Sleep • Diet, e.g. balanced nutrition, reduce caffeine • Exercise • Relaxation exercise, e.g. progressive muscle relaxation, meditation • Thinking patterns, e.g. be realistic, open-minded, let it go, praising and acknowledging yourself • Social Support • Stress Reduction, e.g. reduce obligations, plan ahead, get support, KEEP UP SELF-CARE 33
  • 34. • Exercise • Balanced diet • Beware alcohol and drugs • Sleep • Self-compassion • Connection with community • Connection with animals • Humor • Gratitude / Accepting / Love • Think “bigger” • Learning • Sun • Nature • Play • Prayer • Meditation • Yoga • Tai Chi • Music • Aesthetics, e.g. arts, beauty • Aroma Therapy • Volunteering • Reading / Writing • Curiosity • And more…… SELF-HELP TIPS TO IMPROVE ANXIETY DISORDER 34
  • 35. 35 Denise Kan, MSW, LMSW, RSW Phone: 778-865-7710 Email: denise.DKCounselling.com Web: DKCounselling.com THANK YOU