Category: Depression

Seasonal Affective Disorder (SAD): Recognizing and Managing Winter Depression

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As the days grow shorter and the temperatures drop, many people find themselves feeling a bit more tired, unmotivated, or down than usual. For some, however, these seasonal changes bring on a deeper and more profound sense of sadness, lethargy, and withdrawal—a condition known as Seasonal Affective Disorder (SAD). SAD is a type of depression that follows a seasonal pattern, most often occurring in the fall and winter months. Understanding the symptoms of SAD and exploring effective ways to manage it can make a significant difference for those affected by this condition.

At Southend Psychiatry, we’re here to help you recognize the signs of SAD and provide support through therapies, lifestyle changes, and treatment options that can bring relief and restore balance during the darker months.

Recognizing the Symptoms of Seasonal Affective Disorder

Seasonal Affective Disorder often begins in late fall and can persist until spring. Its symptoms can range from mild to severe and typically include:

  • Low Mood: Persistent feelings of sadness, hopelessness, or apathy.
  • Lethargy and Fatigue: A strong sense of tiredness and low energy, even after a full night’s sleep.
  • Increased Sleep: A tendency to sleep more than usual, often feeling like it’s never enough.
  • Weight Gain and Appetite Changes: Increased cravings for carbohydrates and comfort foods, which can lead to weight gain.
  • Social Withdrawal: Reduced interest in social activities, hobbies, and connections with others.
  • Difficulty Concentrating: A feeling of “brain fog” or trouble focusing on tasks.

These symptoms can disrupt daily life, making it difficult to maintain routines, work effectively, and engage in relationships. While it’s normal to feel some adjustment as the seasons change, people with SAD experience symptoms that significantly impact their quality of life.

What Causes Seasonal Affective Disorder?

Although the exact causes of SAD are still being studied, several factors appear to contribute to this condition:

  • Reduced Sunlight Exposure: Shorter days and less sunlight can disrupt your body’s internal clock, leading to feelings of fatigue and depression. Sunlight exposure plays a crucial role in regulating mood by impacting serotonin production and melatonin levels.
  • Circadian Rhythm Disruption: Our bodies rely on sunlight to maintain a consistent sleep-wake cycle. When daylight hours decrease, the disruption of this natural rhythm can affect our mood and energy.
  • Serotonin and Melatonin Imbalance: Reduced sunlight can lead to lower serotonin levels, impacting mood and emotional stability. Melatonin production, which helps regulate sleep, may also increase during darker months, contributing to sleepiness and lethargy.

Managing Seasonal Affective Disorder: Therapies, Lifestyle Changes, and Support Options

If you recognize the symptoms of SAD in yourself or a loved one, there are several effective treatment and management strategies to consider. Here are some approaches to help reduce the impact of SAD and enhance your mental well-being:

1. Light Therapy

  • Light therapy is one of the most effective treatments for SAD. This involves sitting in front of a specially designed light box that mimics natural sunlight, typically for about 20-30 minutes each morning. Light therapy can help regulate your body’s sleep-wake cycle, boost serotonin levels, and alleviate symptoms of SAD.
  • When using a light box, make sure to choose one with at least 10,000 lux of light and follow your doctor’s recommendations for usage.

2. Therapy and Counseling

  • Cognitive Behavioral Therapy (CBT) is highly effective for treating SAD. CBT helps you identify and change negative thought patterns and behaviors that contribute to feelings of depression. Through CBT, you can develop coping skills to manage symptoms and improve your overall mental health.
  • At Southend Psychiatry, our licensed therapists specialize in providing support for individuals with SAD and other forms of depression. A personalized approach to therapy can empower you to manage your symptoms more effectively.

3. Medication

  • In some cases, medication may be recommended to help manage the symptoms of SAD. Antidepressants, such as selective serotonin reuptake inhibitors (SSRIs), can help boost serotonin levels and improve mood.
  • If you’re considering medication, speak with a psychiatrist or healthcare provider who can assess your specific needs and help you find the most suitable treatment options.

4. Vitamin D Supplementation

  • Reduced sunlight exposure during the winter months can lead to lower levels of vitamin D, which may contribute to feelings of depression. Taking a vitamin D supplement can help boost your mood and energy levels, especially if you’re not getting enough sunlight.
  • Consult your healthcare provider for guidance on the right dosage for you.

5. Lifestyle Changes

  • Exercise: Regular physical activity, particularly outdoors, can significantly improve mood and energy levels. Even a short walk outside on a bright winter day can make a difference.
  • Healthy Diet: Focus on nutrient-dense foods, such as fruits, vegetables, lean proteins, and whole grains. Limiting sugar and processed foods can help prevent energy crashes and maintain stable blood sugar levels.
  • Sleep Routine: Aim for a consistent sleep schedule by going to bed and waking up at the same time each day. Good sleep hygiene practices, such as limiting screen time before bed, can also improve your sleep quality.

6. Social Support and Connection

  • Staying connected with friends, family, and community can help alleviate feelings of isolation that often accompany SAD. Even if you don’t feel like socializing, spending time with supportive people can provide comfort and lift your mood.

Don’t Let SAD Keep You in the Dark—Seek Support

If you’re struggling with symptoms of Seasonal Affective Disorder, remember that you’re not alone. SAD is a common condition, and there are effective treatments and support options available. By recognizing the signs, seeking appropriate treatment, and making small lifestyle adjustments, you can minimize the impact of SAD and enjoy a brighter, more balanced winter season.

At Southend Psychiatry, we’re committed to helping you find relief from SAD and other mental health challenges. Reach out to us today to learn more about how we can support you on your journey to better mental health.

Ready to Take Control of Your Mental Health?

If you or someone you know is struggling with Seasonal Affective Disorder, contact Southend Psychiatry for a consultation. Our experienced team of mental health professionals is here to provide personalized support and guidance. Don’t let SAD keep you from living fully—let us help you find light in the darker months.

Southend Psychiatry 

Schedule your appointment today with one of our SouthEnd Psychiatry clinicians. Book your appointment online or call 1-800-632-7969 to get started today.

The Silent Crisis: Suicide and the Vital Role of Community Support

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Suicide is a complex and deeply troubling issue that affects millions of people around the world. It is a leading cause of death, particularly among young adults, and leaves behind a ripple effect of pain and loss for families, friends, and communities. We at SouthEnd Psychiatry understand that while the causes of suicide are multifaceted, involving a combination of mental health struggles, life stressors, and sometimes a sense of hopelessness, one critical factor in prevention is the role of community support.

Understanding Suicide: A Global Challenge

Suicide is often the result of a convergence of factors, including mental illness (such as depression, anxiety, and bipolar disorder), substance abuse, trauma, and severe life stressors like financial problems, relationship issues, or chronic illness. In many cases, individuals who are contemplating suicide feel isolated, believing that they are alone in their pain or that their situation is hopeless.

Despite its prevalence, suicide remains a taboo subject, often shrouded in stigma and misunderstanding. This stigma can prevent people from seeking help, further isolating those who are already struggling. It is essential to break this silence and foster open, compassionate conversations about mental health and suicide prevention.

The Power of Community: A Lifeline for Those in Need

Community support plays a crucial role in suicide prevention. Strong, supportive communities can provide individuals with the connections, resources, and encouragement they need to navigate difficult times. Here’s how community can make a difference:

  1. Creating a Sense of Belonging: Feeling connected to others is a fundamental human need. Communities that foster inclusivity, empathy, and understanding can help individuals feel valued and supported, reducing feelings of isolation and loneliness.
  2. Providing Emotional Support: Having someone to talk to can be life-saving. Friends, family, and community members who offer a listening ear without judgment can help those struggling with suicidal thoughts feel understood and less alone.
  3. Raising Awareness and Reducing Stigma: Communities that actively promote mental health awareness and openly discuss suicide can help reduce the stigma associated with seeking help. Education and outreach programs can empower individuals to recognize the signs of suicidal behavior in others and encourage them to intervene.
  4. Connecting People to Resources: Communities are often gateways to essential resources, such as mental health services, crisis hotlines, and support groups. By knowing where to turn for help, individuals in crisis are more likely to access the support they need.
  5. Encouraging Healthy Coping Mechanisms: Communities can promote activities and environments that encourage healthy coping mechanisms, such as physical exercise, creative outlets, and mindfulness practices. These activities can help individuals manage stress and emotional pain more effectively.
  6. Building Resilience: Through shared experiences and collective support, communities can help individuals build resilience, teaching them how to navigate life’s challenges and bounce back from adversity.

How to Foster a Supportive Community

  • Start the Conversation: Encourage open dialogue about mental health and suicide prevention. By talking openly, you can help break down the stigma and make it easier for others to seek help.
  • Offer Support and Listen: Be present for those around you. Sometimes, simply listening and showing empathy can make a huge difference to someone in need.
  • Educate Yourself and Others: Learn about the signs of suicide and how to respond if someone you know is struggling. Share this knowledge with your community to empower others to help as well.
  • Promote Mental Health Resources: Share information about local mental health services, hotlines, and support groups. Make it easy for people to find help when they need it.
  • Create Safe Spaces: Whether it’s a physical location or a virtual group, creating spaces where people feel safe to express their feelings and seek support can be incredibly valuable.

The Lifesaving Impact of Community

Suicide is a preventable tragedy, but it requires the collective effort of communities to create a supportive environment where individuals feel safe to seek help. By fostering connections, reducing stigma, and promoting awareness, communities can play a vital role in saving lives and supporting those in need. Together, we can make a difference and provide hope to those who may be struggling in silence.

Are you struggling right now? Our team at SouthEnd is here and ready to help. We invite you to start a conversation with us, on your terms, in-person or online and want you to know you’re not alone.

Southend Psychiatry 

Schedule your appointment today with one of our SouthEnd Psychiatry clinicians. Book your appointment online or call 1-800-632-7969 to get started today.

What Does Mental Health Look Like for Men

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June is Men’s Mental Health Awareness Month and SouthEnd Psychiatry is raising awareness for this less publicized yet critically vital topic.

As Healthline.com writes, there’s still a stigma around men’s mental health, making it more difficult for males of all ages to reach out for help. Some men might still feel as if people expect them to hide their emotions and “man up,” or be strong for others. Having or acknowledging a mental health condition is still seen as a sign of weakness or lack of masculinity among some men.

Mental Health America (MHA) adds that more than six million American men experience symptoms of depression annually and most go undiagnosed. Let’s dive into what causes those stressors.

Stressful Transitions

An article published by Medical News Today states that situational stressors play a major role in suicide deaths among males, many of whom do not have a documented mental health history, according to a 2021 analysis from the CDC. These stressors can include anything from relationship troubles to arguments, but all indicate a need for “support during stressful transitions.”

Stumbling Blocks for Men of Color

The National Alliance on Mental Health reports that just 1 in 3 Black adults with mental illness receives treatment, despite the fact that they are more likely to experience emotional distress than white adults. Generational racial trauma and violence against people of color, as played out in the news media, intensify this distress.

Unlikely Symptoms

A recent study conducted by the National Institute of Mental Health, found that symptoms of depression in males can be physiological, such as a racing heart, digestive issues, or headaches. Males may be more likely to see their doctor about physical symptoms than emotional symptoms.The organization also notes that men who experience depression may self-medicate with alcohol and other substances. However, this can exacerbate their issues and put them at risk of other health conditions.

What You Can Do

While it is becoming more and more acceptable for men to seek therapy, it is vital that we continue advocating for men’s mental health. Talk to your male loved ones. Check in with them. If they are experiencing depression, anger, anxiety or any other stressor, SouthEnd is here to help.

SouthEnd Psychiatry wants you to be well and to feel well in life. We invite you to start a conversation with us, on your terms, in-person or online and want you to know you’re not alone.

Southend Psychiatry 

Schedule your appointment today with one of our SouthEnd Psychiatry clinicians. Book your appointment online or call 1-800-632-7969 to get started today.

What is Cognitive Behavior Therapy (CBT) and How Can it Help Me?

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Cognitive behavioral therapy (CBT) is a form of effective psychological treatment for depression, anxiety disorders, alcohol and drug use problems, marital problems, eating disorders, and severe mental illness. 

Numerous research studies suggest that CBT leads to significant improvement in functioning and quality of life. In many studies, CBT has been demonstrated to be as effective as, or more effective than, other forms of psychological therapy or psychiatric medications, referenced at ada.org.

According to the American Psychological Association, the core concepts of CBT include:

  • psychological issues are partly based on unhelpful ways of thinking
  • psychological issues are partly based on learned patterns of behavior
  • those living with these issues can improve with better coping mechanisms and management to help relieve their symptoms

Healthline provides some of the most popular techniques used in CBT:

  • SMART goals. SMART goals are specific, measurable, achievable, realistic, and time-limited.
  • Guided discovery and questioning. By questioning the assumptions you have about yourself or your current situation, your therapist can help you learn to challenge these thoughts and consider different viewpoints.
  • Journaling. You might be asked to jot down negative beliefs that come up during the week and the positive ones you can replace them with.
  • Self-talk. Your therapist may ask what you tell yourself about a certain situation or experience and challenge you to replace negative or critical self-talk with compassionate, constructive self-talk.
  • Cognitive restructuring. This involves looking at any cognitive distortions affecting your thoughts — such as black-and-white thinking, jumping to conclusions, or catastrophizing — and beginning to unravel them.
  • Thought recording. In this technique, you’ll record thoughts and feelings experienced during a specific situation, then come up with unbiased evidence supporting your negative belief and evidence against it. You’ll use this evidence to develop a more realistic thought.
  • Positive activities. Scheduling a rewarding activity each day can help increase overall positivity and improve your mood. Some examples might be buying yourself fresh flowers or fruit, watching your favorite movie, or taking a picnic lunch to the park.
  • Situation exposure. This involves listing situations or things that cause distress, in order of the level of distress they cause, and slowly exposing yourself to these things until they lead to fewer negative feelings. Systematic desensitization is a similar technique where you’ll learn relaxation techniques to help you cope with your feelings in a difficult situation.

How CBT Can Help

Healthline states that typical CBT treatment often involves the following:

  • recognizing how inaccurate thinking can worsen problems
  • learning new problem-solving skills
  • gaining confidence and a better understanding and appreciation of your self-worth
  • learning how to face fears and challenges
  • using role play and calming techniques when faced with potentially challenging situations

The goal of these techniques is to replace unhelpful or self-defeating thoughts with more encouraging and realistic ones.

CBT can help with a range of things, including:

  • depression
  • substance misuse
  • post-traumatic stress disorder (PTSD)
  • anxiety disorders, including panic disorder and phobia
  • obsessive-compulsive disorder (OCD)
  • schizophrenia
  • bipolar disorder
  • eating disorders

CBT can also help with:

  • grief and loss
  • chronic pain
  • insomnia
  • relationship difficulties like a breakup or divorce
  • a serious health diagnosis, such as cancer

If you are interested in Cognitive Behavioral Therapy, SouthEnd Psychiatry is here for you. Our amazing team of licensed therapists are ready to walk along side you in this journey. 

Contact Southend Psych today to inquire about appointment availability and get you on your way to a better place.

Southend Psychiatry 

Schedule your appointment today with one of our SouthEnd Psychiatry clinicians. Book your appointment online or call 1-800-632-7969 to get started today.

Am I Depressed? Symptoms & Treatment

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Everyone has experienced sadness at some point in their life, but not everyone has experienced depression. So, how do you know if you are depressed? In recognition of Depression Awareness Month, we will uncover the symptoms of depression and the different treatment options available.

According to the National Institute of Health, depression (also known as major depression, major depressive disorder, or clinical depression) is a common but serious mood disorder which can cause severe symptoms that affect how a person feels, thinks, and handles daily activities, such as sleeping, eating, or working.

About 21 million U.S. adults—8.4% of the population—had at least one major depressive episode in 2020 according to The National Survey on Drug Use and Health.

Symptoms of Depression

The National Alliance on Mental Health says that depression can present different symptoms, depending on the person. But for most people, depressive disorder changes how they function day-to-day, and typically for more than two weeks. 

Common symptoms of depression include:

  • Changes in sleep
  • Changes in appetite
  • Lack of concentration
  • Loss of energy
  • Lack of interest in activities
  • Hopelessness or guilty thoughts
  • Changes in movement (less activity or agitation)
  • Physical aches and pains
  • Suicidal thoughts

While depression does not have a single cause, it can be triggered by a life crisis, genetics, brain changes, drug/alcohol misuse and other medical conditions. For example, people who have a history of sleep disturbances, medical illness, chronic pain, anxiety and attention-deficit hyperactivity disorder (ADHD) are more likely to develop depression. 

Treatment Options

Treatment for depressive disorder is available for those who have experienced a depressive episode lasting longer than two weeks. The first step to treatment is contacting your primary care doctor, a psychiatrist, or a psychotherapist for an evaluation. 

Psychotherapy (cognitive behavioral therapy, family-focused therapy and interpersonal therapy), medications (antidepressants, mood stabilizers and antipsychotic medications) and exercise can help with depressive disorder. These are highly effective treatments for those suffering from depression.

If you suspect you have depression, or if you’re feeling troubled by your symptoms, have suicidal thoughts, or just need to talk, SouthEnd Psychiatry is here for you. Our amazing team of licensed therapists are ready to walk along side you in this journey. 

Contact Southend Psych today to inquire about appointment availability and get you on your way to a better place.

Southend Psychiatry 

Schedule your appointment today with one of our SouthEnd Psychiatry clinicians. Book your appointment online or call 1-800-632-7969 to get started today.

What Do I Do When I Feel Isolated by My Mental Illness?

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If you’ve been diagnosed with a mental illness, you may find it difficult to venture outside of your comfort zone. There are many reasons this can be true for people, and how people experience their mental health issues varies greatly by person. According to the Centers for Disease Control and Prevention, serious mental illnesses affect one in 25 Americans. These may include people who suffer from bipolar disorder, have major depression, or are affected by schizophrenia. Across the United States, psychiatrists diagnose and treat patients with those illnesses every day. Know that you are not alone, and there are ways you can mitigate those feelings of isolation. It may not be a cure, but it can help to temporarily alleviate symptoms.

Walk Daily

Whether you walk 15 minutes on a treadmill or around the block, getting your body moving can help your mental and physical state. Walking is a low-impact exercise that has a positive psychological effect. It can boost endorphins, which ease anxiety and reduce stress.

Make Connections

While it may not be easy, it’s essential to connect with other people when you’re feeling isolated. What’s more important is to make healthy connections. Whether you build relationships with family members or friends, the connections you make should bring encouragement and support to your life. They should also afford you the opportunity to encourage and support others.

Work Toward a Goal

Depression and other mental illnesses can make functioning at work and at home difficult. If you can set a realistic goal and work towards it, the journey will help you grow toward a more positive outlook. While setting goals is not a cure, it is a way to navigate toward better mental health.

Talk to Your Psychiatrist

Psychiatrists can answer the questions and concerns you have about your diagnosed mental illness. In a conversation with your psychiatrist, you can find out information about symptoms, treatments, and side effects. Psychiatrists may provide the emotional support you need from a professional who understands your needs and your feelings of isolation.

When you’re socially isolated, it weighs heavily on your mental health. You may feel depression creep in, feel increased anxiety, and experience insomnia. Taking steps to combat isolation can go a long way to helping you positively cope with your mental illness and function better in your everyday lives. If you’re struggling, contact SouthEnd Psychiatry today. We would love to help.

Fighting Depression Together

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In the US alone, about 1 in 10 people experience depression. From the pandemic to social unrest, there are many factors in today’s society that contribute to this rising mental health condition.

Psychology Today states:

“The trigger for depression can be almost any negative experience or hardship. Triggers can be external—losing a parent (especially when young), losing a job or developing a debilitating disease—or they can be internal and invisible, such a brooding over that most common of experiences, a failed relationship. People differ in their susceptibility, both by virtue of the biological heritage, their parenting heritage, their styles of thinking, the coping skills they acquire or deliberately cultivate, and the degree to which situations afford them the ability to control their fate.”

What is Depression?

Webster defines depression as a mood disorder that is marked by varying degrees of sadness, despair, and loneliness and that is typically accompanied by inactivity, guilt, loss of concentration, social withdrawal, sleep disturbances, and sometimes suicidal tendencies.

Signs of Depression

According to the latest edition of Diagnostic and Statistical Manual of Mental Disorders, depression can be considered an illness when at least five symptoms occur together for at least two weeks. Symptoms include:

  • Feelings of sadness, emptiness, or hopelessness
  • Irritability, angry outbursts, or low frustration tolerance
  • Loss of interest in or ability to enjoy usual activities, from sex to sports
  • Sleep disturbance, whether inability to sleep (insomnia) or sleeping too much (hypersomnia)
  • Fatigue and lack of energy; everything feels effortful
  • Appetite disturbance, including loss of interest in eating and weight loss or overeating and weight gain
  • Anxiety, agitation, and restlessness
  • Slowed thinking, moving, or talking
  • Feelings of worthlessness and guilt, a focus on past failure, self-blame
  • Difficulty concentrating, remembering things, and making decisions
  • Recurring thoughts of death
  • Physical pain such as headaches or back pain that has no clear cause.

How Can Therapy Help?

At SouthEnd Psychiatry, our therapy team first helps patients understand what thoughts, feelings and beliefs are contributing to their depression. We then begin to develop healthy coping skills to combat and prevent depressive episodes. 

Negative thought patterns directly affect our mood. Cognitive Behavioral Therapy (CBT) helps us understand these patterns. We learn how to reframe our thoughts through newly developed skills including meditation.

How Can We Help a Loved One With Depression?

Helping someone with depression can come in many forms. Acknowledgment, understanding and empathy are a great place to start! Here are five ways you can help a loved one battling depression:

  • Encourage therapy treatment. Depression is a complex disorder. Talking to someone who is trained and experienced can mean all the difference in the world. SouthEnd Psychiatry has many different therapy plans and means of communication to help make seeing a therapist easy.
  • Get active. People battling depression tend to loose motivation yet physical activity is a great form of behavioral activation. Invite your loved one on a walk. Exercise, sunshine and companionship all have antidepressant qualities.
  • Intentional sleeping habits. Our sleep patterns can be negatively affected by depression. Encourage your loved one to be intentional about getting a good night’s sleep through meditation, a healthy night time wind down routine and consistent bed times.
  • Keep talking. Maintaining regular contact with someone battling depression is key. Take time to listen without judgement or criticism. Social contact helps prevent alienation and seclusion.

Southend Psychiatry is here as you navigate the complexities of today. We can come alongside you or your loved one to offer support and help. Contact Southend Psych today to inquire about appointment availability and get on your way to a better you.

Southend Psychiatry 

Schedule your appointment today with one of our SouthEnd Psychiatry clinicians. Book your appointment online or call 1-800-632-7969 to get started today.

Suicide Prevention: Know the Warning Signs

Posted on by NM

Currently in the US, there is not an effective and accessible central crisis response system that will connect people to the treatment and the support they need. This needs to change and The National Alliance of Mental Health (NAMI) is dedicating September’s Suicide Prevention Awareness Month to advocate for better mental health care including support systems and accessible treatment.

Noticing signs of possible mental illness isn’t always easy since there is not a generic test one would take on their own without a professional. Feelings and thoughts of suicide happen in just about every background, race, age and demographic and is often the result of an untreated mental health condition.

NAMI teaches readers about the warning signs listed below of mental health distress.

Each illness has its own symptoms, but common signs of mental illness in adults and adolescents can include the following: 

  • Excessive worrying or fear 
  • Feeling excessively sad or low 
  • Confused thinking or problems concentrating and learning 
  • Extreme mood changes, including uncontrollable “highs” or feelings of euphoria 
  • Prolonged or strong feelings of irritability or anger 
  • Avoiding friends and social activities 
  • Difficulties understanding or relating to other people 
  • Changes in sleeping habits or feeling tired and low energy 
  • Changes in eating habits such as increased hunger or lack of appetite 
  • Changes in sex drive 
  • Difficulty perceiving reality (delusions or hallucinations, in which a person experiences and senses things that don’t exist in objective reality) 
  • Inability to perceive changes in one’s own feelings, behavior or personality (”lack of insight” or anosognosia) 
  • Overuse of substances like alcohol or drugs 
  • Multiple physical ailments without obvious causes (such as headaches, stomach aches, vague and ongoing “aches and pains”) 
  • Thinking about suicide 
  • Inability to carry out daily activities or handle daily problems and stress 
  • An intense fear of weight gain or concern with appearance 

Mental health conditions can also begin to develop in young children. Because they’re still learning how to identify and talk about thoughts and emotions, children’s most obvious symptoms are behavioral. Symptoms in children may include the following: 

  • Changes in school performance 
  • Excessive worry or anxiety; for instance, fighting to avoid bed or school 
  • Hyperactive behavior 
  • Frequent nightmares 
  • Frequent disobedience or aggression 
  • Frequent temper tantrums 

If you or someone you love is displaying some of the warning signs above, there are proven steps to take when navigating a crisis.

Navigating a Mental Health Crisis (cited from NAMI.org)

  • Talk openly and honestly. Don’t be afraid to ask questions like: “Do you have a plan for how you would kill yourself?” 
  • Remove means such as guns, knives or stockpiled pills 
  • Calmly ask simple and direct questions, like “Can I help you call your psychiatrist?” 
  • If there are multiple people around, have one person speak at a time
  • Express support and concern 
  • Don’t argue, threaten or raise your voice 
  • Don’t debate whether suicide is right or wrong 
  • If you’re nervous, try not to fidget or pace 
  • Be patient 

Southend Psych is here as you navigate the complexities of today. We can come alongside you or your loved one to offer support and help. Contact Southend Psych today to inquire about appointment availability and get on your way to a better you.

Southend Psychiatry 

Schedule your appointment today with one of our SouthEnd Psychiatry clinicians. Book your appointment online or call 1-800-632-7969 to get started today.

Childhood Emotional Wounds: How They Affect Us As Adults

Posted on by NM
Emotional wounds from childhood…the vast majority of us have them. In fact, roughly 60 percent of adult Americans report having experienced trauma or difficult relational dynamics as children—and that doesn’t even include those of us who have repressed these experiences.

But what is an emotional wound anyway, and why do they matter now?

An emotional wound is a negative experience, or series of experiences, that causes pain on a deep psychological level. It typically involves someone close to you: a parent, family member, lover, mentor, friend, or other trusted individual. It may be tied to a specific event or pattern of events, to learning a hard truth about life, or to going through a physical limitation or challenge. Most emotional wounds are associated with abuse, abandonment, loss, neglect, mistreatment, and inconsistency in close relationships, but even these terms can be defined differently depending on the person. We are all different in a myriad of ways, from genetic makeup to the circumstances in which we live, so what may have been traumatic for you may not be for someone else. Thus, the most important factor in identifying and understanding emotional wounds is not the world’s perception of what happened, but the individual who has them.
Childhood emotional wounds are particularly devastating because of who we were at the time: children. If adults have trouble processing these occurrences, just imagine the stress and overwhelm felt by a child trying to understand the same. Unlike adults, children are not yet able to analyze circumstances through the lens of education, social norms, and life experiences. All they know is that they are in pain, and without another point of reference, their conclusion is usually that they themselves must be to blame—that something inside them is inherently wrong, bad, or undeserving.
Unfortunately, these deeply rooted hurts and beliefs don’t just disappear with time. Even in cases where the conscious brain cannot recall the experience, the anxiety caused by it continues to be felt by our bodies to some degree. This is why emotional wounds come up later in life, particularly in relationships that mimic the ones in which they were caused (with significant others, family, and close friends): They can only stay hidden for so long. Such long-term, unresolved heartache has both mental and physiological effects. Not only does it chip away at a child’s sense of stability and self, damaging their self-worth and later producing feelings of guilt, shame, lack of belonging, and disconnection from others; emotional wounds can also lead to heightened anxiety, difficulty managing emotions, depression, and anger in adults. It isn’t uncommon for those with a history of trauma or painful relationships to develop struggles with addiction, chronic illnesses (cancer, heart disease, etc.), poor memory, and other mental disorders as well.
These effects ultimately dictate how we view ourselves, the world, and those around us, changing the way we interact with others. Many adults with emotional wounds have trust issues in relationships and develop victimhood thinking. This causes them to cap their own potential, compromising their success in careers, relationships, and other goals and dreams. For example, when self-expression and self-defense felt unsafe in childhood, unhealed wounds often manifest as passivity and subservience in adults. While these characteristics are sometimes viewed as positive, such people-pleasing behavior can have detrimental effects on the trajectory of one’s life as bottling up feelings instead of communicating can lead to resentment, blow-ups, and even depression. Moreover, people-pleasers’ “go-with-the-flow” nature makes them more susceptible to the exploitative intentions of narcissists and other parasitic people. Other adults may yell, lash out, be overly assertive, seek control, and push people away in times of distress. 

In situations where any form of child abuse took place, emotional wounds tend to show up as insecure attachment styles. These include:

  • Fearful-Avoidant Attachment: It is normal for some children exposed to abuse and neglect to fear close relationships. Now, as adults, those with fearful-avoidant attachment are distrustful, have a hard time sharing emotions with their partner and others and often avoid emotional intimacy altogether.

  • Dismissive-Avoidant Attachment: When a parent or caregiver ignores or rejects a child’s needs, this attachment style results. As an adult, individuals with this style turn to ultra-independence to protect themselves from being rejected again.

  • Anxious-Preoccupied Attachment: Adults with this attachment style require repeated validation in relationships and at times, come across as clingy and needy. Due to a childhood in which their parents were not consistent in the emotional security they provided, these individuals never feel secure. Loving the child and then rejecting them over and over again causes the child to constantly question their place and the validity of the love they receive.

Although distinct, each of the responses mentioned above is a coping mechanism, first learned in childhood in order to function under difficult circumstances and now a pattern of behavior in adulthood used to manage fear, uncertainty, rejection, abandonment, and uncomfortable feelings of any kind.
In sum, emotional wounds run deep and have a profound impact on our beliefs and behaviors as adults, specifically on our self-image and relationships. These traumas, whether big or seemingly small, fracture our foundation and can taint our perception of what is normal and true. They are not easily overcome, but the good news is that they can be. If this article resonated with you and you are not currently seeking support from a mental health professional, contact us today. We would love to help you take steps towards healing—because even though these wounds may be part of who you are, their negative effects don’t have to be. 

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Learn about Ruby and her journey towards freedom in her relationships and childhood wounds through SouthEnd Psychiatry.

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New Year: New Anxieties, Old Regrets

Posted on by NM
It’s a new year—a time to pause, plan, reflect, look forward, and dream before life picks up and the days and weeks start to blur together again. It’s what many would consider the second most wonderful time of the year—a fresh start, a clean slate, a moment of optimism. For others, though, the New Year isn’t so inspiring. It’s a reminder of setbacks and shortcomings, a reason to feel sorrow over decisions and events of years past. And, for at least 20 percent of the US adult population, it’s also a time of heightened anxiety over the months ahead. 

So, what’s the secret to actually enjoying the start of a new year—to fighting the regret and anxiety so many of us are feeling?

Be more positive! And no, we don’t mean “Cheer up, buttercup.” After all, emotions, whether positive or negative, aren’t bad. They’re just human. We mean finding a balance between the two by mitigating the never-ending flow of negativity in our lives in very intentional ways. This, research suggests, makes our minds more resilient, leading to less anxiety, regret, and an improved quality of life overall.

To help you get started, here are a few resolutions you can make to kick off your New Year right:

  1. Trade two for one. It won’t be easy to reverse your negative thought processes, but that old saying, “Slow and steady wins the race,” really does apply here. When you find yourself ruminating on past failures—the school you didn’t go to, divorce you never wanted, 30 pounds you didn’t lose—remind yourself that the past is the past, and you can only work on today to have a better tomorrow. The same goes for negative thoughts about the future: When expecting the worst, speak truths about the situation to yourself, remembering the positive possibilities and the strength you’ve developed from situations in the past.
  2. Aim to replace every negative thought with two positive affirmations, observations, or gratitudes that counter it. By trading two for one, you’ll be teaching your brain to see situations in a better light.
  3. Similarly, practice thankfulness. If you’re tired of focusing on the past or future, redirect your mind to the present by listing the people and things for which you are thankful today. Be thankful for a good night’s sleep, a steady job, a friend who cares about you, your education, yummy lunch, the task you just completed, etc. It doesn’t matter what it is, just give thanks! Keep a list in your notebook or phone, and glance at it throughout the day. You’ll notice a difference in no time.
  4. Want to get out of a mental rut? Prove it in your posture. It’s old news that the body affects the mind and vice versa, but studies have found that it’s not just healthy eating and exercise that make a difference, but the small habits too—like posture. On the days when you’re in a lull and can’t break out, stand up tall, pull your shoulders back, and stretch your arms out wide. This posture will not only get your blood pumping, but it will cause you to produce endorphins, much like exercise, that boost your positivity.
  5. To take this a step further, try power posing! A social psychologist at Harvard University found that there are “high power” and “low power” posture poses that affect our mood. By holding high power poses for about two minutes, we cause hormonal shifts in our bodies to take place, sparking feelings of self-confidence. The next time you need a coffee break, break into a power pose instead (like the Wonder Woman pose!), and feel more positive and empowered instantaneously.
  6. Set firmer boundaries. Distance yourself from negative people, and surround yourself with more positive ones—ones that are on the same journey towards self-improvement as you. We all know that phrase, “You are the sum of the people closest to you.” That’s because it’s true. Being around negative people for an extended period of time can rewire our neuronal connections. When this happens, the networks in our brains begin to respond negatively to situations that we once considered positive. These “re-wirings” can cause long-term depression and anxiety. It can take time, sometimes years, for our brains to learn to think differently again.
So, who uplifts you? Who pushes you towards your goals? Who is kind, patient, and genuinely concerned for your wellbeing? Choose them, and take measures to limit your time with the rest.
 
Last but not least, seek out a licensed counselor or therapist. Nobody should have to face regret and anxiety alone, and it’s important that one of the people standing next to you through these struggles has a deep understanding of their causes and effects. Friends and family are great for advice, consolement, and encouragement, but when it comes to chronic emotional distress, treatment is necessary. A professional will be able to break patterns of negativity on a more individualized basis—that is, according to your unique situation and needs.
So, begin implementing the habits above. If these feelings of regret and anxiety continue, schedule a time to talk to someone who can navigate these new habits with you, and maybe even help you identify more that will make this year worthwhile.
Here’s to a more positive 2022! Happy New Year to you and yours.

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