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                              Educating Southwest Florida on Mental Wellness since 1957

   55 Years of
providing Services                                                                               January 2012
       throughout
          SWFL
                                             A New Year Has Begun
                                                                          We are proud that our Professional
Coming Events:                                                            Membership has increased by 35%
                                                                          for 2012. I certainly also want to
♦ January 7, 2012                                                         Thank our Professional Members who
Putting Children First                                                    joined us this year not only as mem-
♦ January 21, 2012                                                        bers, but giving their time by
Putting Children First                                                    performing pro bono work, writing
                                                                          articles, and helping us meet the needs
♦ February 11, 2012            It’s hard to believe it is 2012 already.   of the community. Also the businesses
Putting Children First         The Mental Health Association of           and individuals who support us
♦ February 25, 2012            Southwest Florida is grateful for such a   financially and through volunteering
Putting Children First         successful year. It has been a year of     make it possible for us to continue our
                               change. At the MHA there has been a        work.
♦ March 3, 2012
                               great deal of change as well. We Ex-
  Diversity Festival                                                       We are committed throughout 2012
                               panded our Gollee Gator Program.
                                                                          to provide services that enhance our
                               We also have strengthened our
                                                                          community, are culturally diverse, and
                               Caregiver for Seniors Program and
                                                                          are progressive.
                               we are looking forward to seeing a
                               continuation of a valuable service to
Support Groups:                the community. We continue to revise
                               our present programs to be of a
•   Here for Life
                               timely and cost effective nature. We
    1st Tuesday every Month
                               are proud to say we have kept
    7:00 PM
                               expenses down and by owning our
• Veterans                     office space we were able to provide
    Wednesday                  many programs for our Professional
    7:00 - 8:30PM
                               members and the public at no cost.
• Depression                   We have enhanced our web site and
    Thursday                   published 12 newsletters to keep our
    10:30AM - Noon             members and the public informed.
Page 2                                                                                                   Mental Health Matters




Welcome New Member Hannah Waterman
                                 She is trained in individual,      Hannah’s experience is that
                                 family, and group                  every individual has
                                 psychotherapy, including           untapped strengths and
                                 adjustment to life transitions     resources, of which they may
                                 and grief counseling for           not yet be aware. It is
                                 traumatic loss. She also has       through the therapeutic
                                 experience in working with a       relationship she believes that
                                 sexual assault response team       these strengths can be
                                 and crisis hotline. In addition,   discovered and employed to
                                 she facilitated family             help foster true healing and
Hannah Waterman, MSW             advocacy, trained parents          growth in a client's life.
                                 of peer support groups, and
Hannah Waterman, MSW is          coordinated the services of        I am conveniently located at:
a Registered Clinical Social     a family resource center.
Work Intern in the State of      Further knowledge includes         4500 Executive Dr Ste 100
Florida and is currently in      pregnancy counseling and
training with Kimberly           infant adoption services,          Naples FL 34119
Rodgers of Monarch               consisting of adoptive             Phone: 239-325-9210
Therapy, LLC to complete         parent preparation,
her licensure.                   education, and support.


Welcome Dr. Daniel A. Deutschman
                                    Reserve University and has            Psychiatry.
Daniel A. Deutschman MD
                                    been on the medical school
is a board certified
psychiatrist and                    faculty of Harvard
addictionologist.                   University. He has been an
He specializes in differential      examiner for the American
diagnosis and                       Board of Psychiatry and
psychopharmacology.                 Neurology. He is Board
He is field testing the             Certified in Geriatric
American Psychiatric
                                    Psychiatry, Adolescent
Association’s new diagnostic
system (DSM V) which is             Psychiatry,
due for launch in 2013.             Psychopharmacology and
He is Clinical Assistant            Addiction Medicine in
Professor of Psychiatry at          addition to General
Case Western                        Psychiatry and Addiction                                         Dr. Daniel A. Deutschman


Dr. Deutschman is on the staff of Naples Community Hospital and Physicians
Regional Medical Center. He has been Medical Director of Hazelden Addiction Treatment Center, Naples, FL and has
been on the staff of David Lawrence Center Mental Health Center. He has lectured for the Collier County Medical
Society and Mental Health Association of Southwest Florida (MHASWFL).
Dr Deutschman’s practice is patient focused. His practice employs many features of concierge medicine. He provides
extra time and focus for his patients and is available 7 days a week by phone. He does not take Medicare or Medicaid.

Phone: (239) 591-6736
Address: 1415 Panther Lane #219
         Naples, FL 34109
Website: www.dandeutschman.com                 Email:     drdan@dandeutschman.com.
January 2012                                                                                                             Page 3




                            Welcome Dr. Patrice C Mack
                            I am a Board Certified Child, Adolescent, and Adult Psychiatrist in private practice in Naples for
                            34 years. I trained as a pediatrician and did fellowships in medical genetics and child develop-
                            ment. I am a Distinguished Life Fellow of the American Psychiatric Association and a Life Fellow of
                            the American Academy of Child and Adolescent Psychiatry.

                            I am conveniently Located at:

                            801 Laurel Oak Dr, Suite 618 Naples FL 34108

                            239-254-0535

                            www.pcmackmd.com
       Patrice C Mack, MD



                   Welcome New & Returning Members
                                           Ashley Allain, LMHC
                                         Audrey Boxma, LMHC
                                        Leo D’Anniballe, LCSW
                                       Michelle Hamilton, LMFT
                                            Elaine Hankin, PhD
                                           Peggy Jones, LMHC
                                              Nolan Katz, PhD
                                             Brent Lovett, MD
                                          Miguel Mandoki, MD
                                         Maxine Russell, LMHC
                                         Jane Schwartz, LCSW
                                       Peggy Thompson, LCSW
                                           Jill Wheeler, LMHC
Page 4                                                               Mental Health Matters


         Join us in Celebrating 55 Years of Service to Southwest Florida!!




    The Mental Health Association of Southwest Florida identifies unmet needs and
  develops culturally sensitive services and programs to improve the lives of those
 facing the many challenges of today’s world in our community. We pride ourselves
             on being the “link” for mental health and mental wellness.


           “We’re Making A Difference”
January 2012                                                                                                Page 5




Monarch Therapy, LLC expanding
                              “Just when the Caterpillar thought the world was over, it became a Butterfly.”
                              ~Unknown

                              Monarch Therapy, LLC embraces the New Year with further expansion and
                              growth. Their transformation includes the addition of more services to em-
                              power children, adolescents, and adults to “Transform, Emerge, Become”
                              through emotional and behavioral metamorphosis.

                              In addition to professional counseling and play therapy, the practice has teamed
                              up with behavioral consultant, Jill Emmerich, Board Certified Assistant Behavior
                              Analyst. Jill offers on-site applied behavior analysis of challenging individual or
                              group behaviors, treatment utilizing positive approaches to improve problem
                              solving, communication, and skill development, and parent and organizational
training and support.
         Monarch Therapy’s expansion into a holistic healing center includes yoga classes for families, children,
adolescents, adults, and couples. Massage therapy will also be available for more comprehensive healing of
body, mind, and spirit.
         Founder Kimberly Rodgers, Licensed Clinical Social Worker and Registered Play Therapist-Supervisor,
and Hannah Waterman, MSW and Registered Clinical Social Work Intern, continue to offer counseling ser-
vices, including traditional talk therapy and specialized therapeutic interventions such as play therapy
(counseling using a child’s natural language of play), sand tray therapy (building a visual “world” in sand using
miniatures to process one’s reality), and EMDR (trauma specific therapy). They also continue to work with
adoptions, including pre and post placement counseling and home studies, and are adding a support group
for birth parents.
         Kimberly continues to serve as the Vice-President of the SWFL chapter of the Association for Play
Therapy and Editor-In-Chief of IFitFamily.com, a website providing practical information and inspiration to
everyday families to live healthier every day. Monarch Therapy also looks forward to further collaboration
with Naples’ new non-profit community center, House of Gaia.
         Monarch Therapy, LLC specializes in resolving stress, anxiety, trauma, and assisting with adjustment
to life transitions. As a butterfly transforms through its metamorphosis, the therapeutic healing process em-
powers one to emerge with freedom, a positive perspective, and motivation to fulfill his/her life purpose.
Research demonstrates the effectiveness of treatment that facilitates whole brain integration for complete
healing. More information, including schedule and upcoming open house, is available at



                                       www.MonarchTherapy.com,
                                www.facebook.com/monarchtherapyllc,
                                            www.IFitFamily.com,
                                            and (239) 325-9210.
Page 6                                                              Mental Health Matters




                        Gollee’s Tip
                       Talking to Kids about School Safety
                       Encourage children to talk about their concerns
                       and to express their feelings.
                       Some children may be hesitant to initiate such
                       conversation, so you may want to prompt them by asking if
                       they feel safe at school. When talking with younger
                       children remember to talk on their level. For example,
                       they may not understand the term “violence” but can talk
                       to you about being afraid or a classmate who is mean to
                       them.

                       Empower children to take action regarding
                       school safety.
                       Encourage them to report specific incidents (such as
                       bullying, threats or talk of suicide) and to develop
                       problem solving and conflict resolution skills. Encourage
                       older children to actively participate in student-run
                       anti-violence programs.

                       Seek help when necessary.
                       If you are worried about a child’s reaction or have
                       ongoing concerns about his/her behavior or emotions,
                       contact a mental health professional at school, your
                       community mental health center, or
         Discuss the   MHASWFL at 261-5405.
         safety
         procedures
         with your
         child.
January 2012                                                          Page 7




               Support Group: Grandparents Caring
                    for their Grandchildren




        The Mental Health Association of Southwest Florida in
      partnership with Tim’s Kids is providing a free support group
            for Grandparents caring for their grandchildren.

The schedule is as follows:
1st and 3rd week of each month Mondays starting at 10am,
and 2nd and 4th week of each month Mondays starting at 6:30 pm.

Please contact Peggy Thomson, LCSW at (239) 287-2862
for further information.

Groups will be held at:

Therapeutic Integration Services

2960 Immokalee Rd Suite 3 Naples, FL 34110.
Page 8   Mental Health Matters
January 2012                                                                                               Page 9




                               Schizoaffective Disorder
Schizoaffective disorder symptoms look like a mixture of two kinds of major mental illnesses that are usually
thought to run in different families, involve different brain mechanisms, develop in different ways, and respond
to different treatments: mood (affective) disorders and schizophrenia.
Symptoms of Schizoaffective Disorder
The two major mood disorders are unipolar depression and bipolar or manic-depressive illness.
Seriously depressed people:
                                      Feel constantly sad and fatigued
                                      Have lost interest in everyday activities
                                      Are indecisive and unable to concentrate
                                      Sleep and eat too little or too much
                                      Complain of various physical symptoms
                                      May have recurrent thoughts of death and suicide
People experiencing a manic mood are:
                                      Suffering from sleeplessness
                                      Compulsively talkative
                                      Agitated and distractible
                                      Convinced of their own inflated importance
                                      Susceptible to buying sprees
                                      Prone to cheerfulness turning to irritability
                                      Indiscreet sexual advances, and foolish investments
                                      Paranoia, and rage
People with chronic schizophrenia:
                                      Appear apathetic
                                      Are emotionally unresponsive
                                      Have limited speech
                                      Have confused thinking
                                      May suffer from hallucinations and delusions
                                      Perplex others with their strange behavior
                                      And inappropriate emotional reactions
Page 10                                                                           Mental Health Matters




Peer Counseling Corner
Margot Escott, LCSW Training Coordinator
As the year ends and a new one begins, we are happy to report that the Peer Counseling for
Caregivers program has continued to grow and thrive. Although we had to say “goodby” to
some wonderful volunteers, we have been blessed with two new volunteers in training and
beginning this January.
The growth in our client population has been very significant too. In just one week we received
eight phone calls from caregivers interested in our program. In most cases these heroic
caregivers are appropriate for our program. Occasionally people call that do require help
from some of the other agencies that we work with. In those cases, we help with referrals and
follow through with these clients. Our case load is now higher than it’s been in over two years.
We still need volunteers that want to help others, having been a caregiver is helpful, but not
necessary. Having compassion and commitment to our clients is the most important qualities a
volunteer needs!

We are not too busy to take new clients as well. If you know a caregiver of a person over 60
years of age, let them know that we are here for them!
January 2012                                                                                       Page 11




Volunteers Needed:
“Peer Counselors Find Meaning in Retirement”
By Margot Escott, LCSW, Senior Peer Counseling Coordinator
for the Mental Health Association of Southwest Florida
   Learn about Peer Counselors and a Vital Community Project
   Give Purpose to Your Retirement Years
   Make a Difference in Someone’s Life Today
Peer counselors are men and women from diverse backgrounds and experiences, who are selected for
their warmth and caring for others. They receive extensive training and earn a Peer Counseling
Certificate after successful completion of the training program. Ongoing supervision and continuing
training is also an essential part of their experience. These counselors utilize their skills and life
experiences to provide emotional support and guidance to their peers. The target population for the
Peer Counseling Program is caregivers and seniors.




               Please contact The Mental Health Association to learn more,
                   Call 239.261.5405 or email mescott@mhaswfl.org

                         “We Are Making                A Difference”
Page 12   Mental Health Matters
January 2012                                                                                                 Page 13




Depression: Yes you can!
Daniel A. Deutschman MD, DLF APA
Depression affects many. It can be subtle or profound. It saps a person’s
energy and takes the joy out of everyday pleasures. The diagnosis is
based on two major symptoms: 1) depressed mood/blue/down/moody and
2) anhedonia, i.e. things aren’t fun (not as much fun as before/as they ought
to be). If either or both symptoms are present for a significant period of
time the individual is depressed. Grief and response to loss don’t qualify as
depression unless they are intense or persistent.
Treatments for depression and their outcomes are improving all the time!
Medications can be very effective. Literature studies report success rates of 29%. This hides the fact that re-
sults with knowledgeable clinicians approach 100%! Family genetic information is beginning to help us choose
the antidepressant that will work for a specific patient.
Initial medication approaches are Serotonin antidepressants. They are all equally effective but the side effect
burdens vary. Zoloft, Prozac and Lexapro have the smallest burden of side effects; Celexa, Paxil and Effexor
have the largest.
Doses often have to be increased over the first few weeks to maximize benefit. The stair step increase in dose
is called a “titration”. Depression may improve after a few weeks but might take one to two months from the
full dose to be fully improved. If weight gain or sexual side effects appear (10% of patients) Wellbutrin or
other antidepressants can be used to eliminate these.
Cognitive Behavioral Therapy can be very useful. This approach requires the patient to spend significant time
on a daily basis working on the drills and behaviors that their clinician has outlined for them. Patients with se-
vere depression may not have the energy and focus for this approach until medications have relieved the worst
of their symptoms.
Current national guidelines state that depression should be completely improved before the medication adjust-
ment is considered complete. This ensures a good prognosis, i.e. guards against future relapse. We have bor-
rowed the US Army slogan “Be the best you can be”.
Depression not only takes a toll on the individual, it also burdens her/his loved ones.
If you or someone you love is depressed, contact you doctor or mental health professional.


Daniel A. Deutschman MD, DLF APA
Clinical Assistant Professor
Case Western Reserve University
Examiner
American Board of Neurology and Psychiatry
January 2012                                                Mental Health Matters                                             Page 14




                                                     Our Mission
            To Advocate for Mental Wellness through Education,
                         Prevention, and Support
       The Mental Health Association of Southwest Florida identifies unmet needs and
       develops culturally sensitive services and programs to improve the lives of those




If you are interested in becoming a member, e-mail us at info@mhaswfl.org    Or Simply fill out the application and mail a check
payable to MHASWFL or donate online using a credit card. Your contribution is tax-deductible and crucial to helping us continue
our work. If you have any questions about Membership please contact our office by phone at (239) 261-5405
or mail The Mental Association of Southwest Florida 2335 Tamaimi Trail N, Ste 404, Naples FL 34103.

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Newsletter January 2012

  • 1. `xÇàtÄ [xtÄà{ TááÉv|tà|ÉÇ Éy fÉâà{ãxáà YÄÉÜ|wt Educating Southwest Florida on Mental Wellness since 1957 55 Years of providing Services January 2012 throughout SWFL A New Year Has Begun We are proud that our Professional Coming Events: Membership has increased by 35% for 2012. I certainly also want to ♦ January 7, 2012 Thank our Professional Members who Putting Children First joined us this year not only as mem- ♦ January 21, 2012 bers, but giving their time by Putting Children First performing pro bono work, writing articles, and helping us meet the needs ♦ February 11, 2012 It’s hard to believe it is 2012 already. of the community. Also the businesses Putting Children First The Mental Health Association of and individuals who support us ♦ February 25, 2012 Southwest Florida is grateful for such a financially and through volunteering Putting Children First successful year. It has been a year of make it possible for us to continue our change. At the MHA there has been a work. ♦ March 3, 2012 great deal of change as well. We Ex- Diversity Festival We are committed throughout 2012 panded our Gollee Gator Program. to provide services that enhance our We also have strengthened our community, are culturally diverse, and Caregiver for Seniors Program and are progressive. we are looking forward to seeing a continuation of a valuable service to Support Groups: the community. We continue to revise our present programs to be of a • Here for Life timely and cost effective nature. We 1st Tuesday every Month are proud to say we have kept 7:00 PM expenses down and by owning our • Veterans office space we were able to provide Wednesday many programs for our Professional 7:00 - 8:30PM members and the public at no cost. • Depression We have enhanced our web site and Thursday published 12 newsletters to keep our 10:30AM - Noon members and the public informed.
  • 2. Page 2 Mental Health Matters Welcome New Member Hannah Waterman She is trained in individual, Hannah’s experience is that family, and group every individual has psychotherapy, including untapped strengths and adjustment to life transitions resources, of which they may and grief counseling for not yet be aware. It is traumatic loss. She also has through the therapeutic experience in working with a relationship she believes that sexual assault response team these strengths can be and crisis hotline. In addition, discovered and employed to she facilitated family help foster true healing and Hannah Waterman, MSW advocacy, trained parents growth in a client's life. of peer support groups, and Hannah Waterman, MSW is coordinated the services of I am conveniently located at: a Registered Clinical Social a family resource center. Work Intern in the State of Further knowledge includes 4500 Executive Dr Ste 100 Florida and is currently in pregnancy counseling and training with Kimberly infant adoption services, Naples FL 34119 Rodgers of Monarch consisting of adoptive Phone: 239-325-9210 Therapy, LLC to complete parent preparation, her licensure. education, and support. Welcome Dr. Daniel A. Deutschman Reserve University and has Psychiatry. Daniel A. Deutschman MD been on the medical school is a board certified psychiatrist and faculty of Harvard addictionologist. University. He has been an He specializes in differential examiner for the American diagnosis and Board of Psychiatry and psychopharmacology. Neurology. He is Board He is field testing the Certified in Geriatric American Psychiatric Psychiatry, Adolescent Association’s new diagnostic system (DSM V) which is Psychiatry, due for launch in 2013. Psychopharmacology and He is Clinical Assistant Addiction Medicine in Professor of Psychiatry at addition to General Case Western Psychiatry and Addiction Dr. Daniel A. Deutschman Dr. Deutschman is on the staff of Naples Community Hospital and Physicians Regional Medical Center. He has been Medical Director of Hazelden Addiction Treatment Center, Naples, FL and has been on the staff of David Lawrence Center Mental Health Center. He has lectured for the Collier County Medical Society and Mental Health Association of Southwest Florida (MHASWFL). Dr Deutschman’s practice is patient focused. His practice employs many features of concierge medicine. He provides extra time and focus for his patients and is available 7 days a week by phone. He does not take Medicare or Medicaid. Phone: (239) 591-6736 Address: 1415 Panther Lane #219 Naples, FL 34109 Website: www.dandeutschman.com Email: drdan@dandeutschman.com.
  • 3. January 2012 Page 3 Welcome Dr. Patrice C Mack I am a Board Certified Child, Adolescent, and Adult Psychiatrist in private practice in Naples for 34 years. I trained as a pediatrician and did fellowships in medical genetics and child develop- ment. I am a Distinguished Life Fellow of the American Psychiatric Association and a Life Fellow of the American Academy of Child and Adolescent Psychiatry. I am conveniently Located at: 801 Laurel Oak Dr, Suite 618 Naples FL 34108 239-254-0535 www.pcmackmd.com Patrice C Mack, MD Welcome New & Returning Members Ashley Allain, LMHC Audrey Boxma, LMHC Leo D’Anniballe, LCSW Michelle Hamilton, LMFT Elaine Hankin, PhD Peggy Jones, LMHC Nolan Katz, PhD Brent Lovett, MD Miguel Mandoki, MD Maxine Russell, LMHC Jane Schwartz, LCSW Peggy Thompson, LCSW Jill Wheeler, LMHC
  • 4. Page 4 Mental Health Matters Join us in Celebrating 55 Years of Service to Southwest Florida!! The Mental Health Association of Southwest Florida identifies unmet needs and develops culturally sensitive services and programs to improve the lives of those facing the many challenges of today’s world in our community. We pride ourselves on being the “link” for mental health and mental wellness. “We’re Making A Difference”
  • 5. January 2012 Page 5 Monarch Therapy, LLC expanding “Just when the Caterpillar thought the world was over, it became a Butterfly.” ~Unknown Monarch Therapy, LLC embraces the New Year with further expansion and growth. Their transformation includes the addition of more services to em- power children, adolescents, and adults to “Transform, Emerge, Become” through emotional and behavioral metamorphosis. In addition to professional counseling and play therapy, the practice has teamed up with behavioral consultant, Jill Emmerich, Board Certified Assistant Behavior Analyst. Jill offers on-site applied behavior analysis of challenging individual or group behaviors, treatment utilizing positive approaches to improve problem solving, communication, and skill development, and parent and organizational training and support. Monarch Therapy’s expansion into a holistic healing center includes yoga classes for families, children, adolescents, adults, and couples. Massage therapy will also be available for more comprehensive healing of body, mind, and spirit. Founder Kimberly Rodgers, Licensed Clinical Social Worker and Registered Play Therapist-Supervisor, and Hannah Waterman, MSW and Registered Clinical Social Work Intern, continue to offer counseling ser- vices, including traditional talk therapy and specialized therapeutic interventions such as play therapy (counseling using a child’s natural language of play), sand tray therapy (building a visual “world” in sand using miniatures to process one’s reality), and EMDR (trauma specific therapy). They also continue to work with adoptions, including pre and post placement counseling and home studies, and are adding a support group for birth parents. Kimberly continues to serve as the Vice-President of the SWFL chapter of the Association for Play Therapy and Editor-In-Chief of IFitFamily.com, a website providing practical information and inspiration to everyday families to live healthier every day. Monarch Therapy also looks forward to further collaboration with Naples’ new non-profit community center, House of Gaia. Monarch Therapy, LLC specializes in resolving stress, anxiety, trauma, and assisting with adjustment to life transitions. As a butterfly transforms through its metamorphosis, the therapeutic healing process em- powers one to emerge with freedom, a positive perspective, and motivation to fulfill his/her life purpose. Research demonstrates the effectiveness of treatment that facilitates whole brain integration for complete healing. More information, including schedule and upcoming open house, is available at www.MonarchTherapy.com, www.facebook.com/monarchtherapyllc, www.IFitFamily.com, and (239) 325-9210.
  • 6. Page 6 Mental Health Matters Gollee’s Tip Talking to Kids about School Safety Encourage children to talk about their concerns and to express their feelings. Some children may be hesitant to initiate such conversation, so you may want to prompt them by asking if they feel safe at school. When talking with younger children remember to talk on their level. For example, they may not understand the term “violence” but can talk to you about being afraid or a classmate who is mean to them. Empower children to take action regarding school safety. Encourage them to report specific incidents (such as bullying, threats or talk of suicide) and to develop problem solving and conflict resolution skills. Encourage older children to actively participate in student-run anti-violence programs. Seek help when necessary. If you are worried about a child’s reaction or have ongoing concerns about his/her behavior or emotions, contact a mental health professional at school, your community mental health center, or Discuss the MHASWFL at 261-5405. safety procedures with your child.
  • 7. January 2012 Page 7 Support Group: Grandparents Caring for their Grandchildren The Mental Health Association of Southwest Florida in partnership with Tim’s Kids is providing a free support group for Grandparents caring for their grandchildren. The schedule is as follows: 1st and 3rd week of each month Mondays starting at 10am, and 2nd and 4th week of each month Mondays starting at 6:30 pm. Please contact Peggy Thomson, LCSW at (239) 287-2862 for further information. Groups will be held at: Therapeutic Integration Services 2960 Immokalee Rd Suite 3 Naples, FL 34110.
  • 8. Page 8 Mental Health Matters
  • 9. January 2012 Page 9 Schizoaffective Disorder Schizoaffective disorder symptoms look like a mixture of two kinds of major mental illnesses that are usually thought to run in different families, involve different brain mechanisms, develop in different ways, and respond to different treatments: mood (affective) disorders and schizophrenia. Symptoms of Schizoaffective Disorder The two major mood disorders are unipolar depression and bipolar or manic-depressive illness. Seriously depressed people: Feel constantly sad and fatigued Have lost interest in everyday activities Are indecisive and unable to concentrate Sleep and eat too little or too much Complain of various physical symptoms May have recurrent thoughts of death and suicide People experiencing a manic mood are: Suffering from sleeplessness Compulsively talkative Agitated and distractible Convinced of their own inflated importance Susceptible to buying sprees Prone to cheerfulness turning to irritability Indiscreet sexual advances, and foolish investments Paranoia, and rage People with chronic schizophrenia: Appear apathetic Are emotionally unresponsive Have limited speech Have confused thinking May suffer from hallucinations and delusions Perplex others with their strange behavior And inappropriate emotional reactions
  • 10. Page 10 Mental Health Matters Peer Counseling Corner Margot Escott, LCSW Training Coordinator As the year ends and a new one begins, we are happy to report that the Peer Counseling for Caregivers program has continued to grow and thrive. Although we had to say “goodby” to some wonderful volunteers, we have been blessed with two new volunteers in training and beginning this January. The growth in our client population has been very significant too. In just one week we received eight phone calls from caregivers interested in our program. In most cases these heroic caregivers are appropriate for our program. Occasionally people call that do require help from some of the other agencies that we work with. In those cases, we help with referrals and follow through with these clients. Our case load is now higher than it’s been in over two years. We still need volunteers that want to help others, having been a caregiver is helpful, but not necessary. Having compassion and commitment to our clients is the most important qualities a volunteer needs! We are not too busy to take new clients as well. If you know a caregiver of a person over 60 years of age, let them know that we are here for them!
  • 11. January 2012 Page 11 Volunteers Needed: “Peer Counselors Find Meaning in Retirement” By Margot Escott, LCSW, Senior Peer Counseling Coordinator for the Mental Health Association of Southwest Florida Learn about Peer Counselors and a Vital Community Project Give Purpose to Your Retirement Years Make a Difference in Someone’s Life Today Peer counselors are men and women from diverse backgrounds and experiences, who are selected for their warmth and caring for others. They receive extensive training and earn a Peer Counseling Certificate after successful completion of the training program. Ongoing supervision and continuing training is also an essential part of their experience. These counselors utilize their skills and life experiences to provide emotional support and guidance to their peers. The target population for the Peer Counseling Program is caregivers and seniors. Please contact The Mental Health Association to learn more, Call 239.261.5405 or email mescott@mhaswfl.org “We Are Making A Difference”
  • 12. Page 12 Mental Health Matters
  • 13. January 2012 Page 13 Depression: Yes you can! Daniel A. Deutschman MD, DLF APA Depression affects many. It can be subtle or profound. It saps a person’s energy and takes the joy out of everyday pleasures. The diagnosis is based on two major symptoms: 1) depressed mood/blue/down/moody and 2) anhedonia, i.e. things aren’t fun (not as much fun as before/as they ought to be). If either or both symptoms are present for a significant period of time the individual is depressed. Grief and response to loss don’t qualify as depression unless they are intense or persistent. Treatments for depression and their outcomes are improving all the time! Medications can be very effective. Literature studies report success rates of 29%. This hides the fact that re- sults with knowledgeable clinicians approach 100%! Family genetic information is beginning to help us choose the antidepressant that will work for a specific patient. Initial medication approaches are Serotonin antidepressants. They are all equally effective but the side effect burdens vary. Zoloft, Prozac and Lexapro have the smallest burden of side effects; Celexa, Paxil and Effexor have the largest. Doses often have to be increased over the first few weeks to maximize benefit. The stair step increase in dose is called a “titration”. Depression may improve after a few weeks but might take one to two months from the full dose to be fully improved. If weight gain or sexual side effects appear (10% of patients) Wellbutrin or other antidepressants can be used to eliminate these. Cognitive Behavioral Therapy can be very useful. This approach requires the patient to spend significant time on a daily basis working on the drills and behaviors that their clinician has outlined for them. Patients with se- vere depression may not have the energy and focus for this approach until medications have relieved the worst of their symptoms. Current national guidelines state that depression should be completely improved before the medication adjust- ment is considered complete. This ensures a good prognosis, i.e. guards against future relapse. We have bor- rowed the US Army slogan “Be the best you can be”. Depression not only takes a toll on the individual, it also burdens her/his loved ones. If you or someone you love is depressed, contact you doctor or mental health professional. Daniel A. Deutschman MD, DLF APA Clinical Assistant Professor Case Western Reserve University Examiner American Board of Neurology and Psychiatry
  • 14. January 2012 Mental Health Matters Page 14 Our Mission To Advocate for Mental Wellness through Education, Prevention, and Support The Mental Health Association of Southwest Florida identifies unmet needs and develops culturally sensitive services and programs to improve the lives of those If you are interested in becoming a member, e-mail us at info@mhaswfl.org Or Simply fill out the application and mail a check payable to MHASWFL or donate online using a credit card. Your contribution is tax-deductible and crucial to helping us continue our work. If you have any questions about Membership please contact our office by phone at (239) 261-5405 or mail The Mental Association of Southwest Florida 2335 Tamaimi Trail N, Ste 404, Naples FL 34103.