Depression tagged posts

Despite VA Benefits and Disability Coverage, Jennifer Struggles to Get the Care She Needs

Although Jennifer remembers “just not feeling right” in high school and telling a teacher that she wanted to die, she wasn’t diagnosed with major depression until she was nearly 30. An unrelated medical disability required her release from the Navy, and a car accident shortly thereafter further complicated Jennifer’s physical health and depression. In constant pain, she often wondered if her life would ever get better. At a couple of dark points, the possibility of taking her life became a concern. Jennifer sought emergency help at the VA and was hospitalized in the psychiatric ward.

“I was the only female up there,” Jennifer recalls. She describes the situation as “scary” for a woman, grouped with men whose issues run the gamut from alcohol abuse to serious mental illness. For those in the VA hospital’s psychiatric ward, she says, “They don’t have separate treatment.”

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How Can You Find The Right Provider to Treat Social Anxiety Disorder?

Lori Blumenstein-Bott, MSW, LMSW
Executive Director, The Andrew Kukes Foundation for Social Anxiety

Finding a provider to treat social anxiety disorder can be a challenge, especially because so many people—mental health professionals included—do not know how to diagnose or treat it. Ms. Blumentstein-Bott shares tips from the Andrew Kukes Foundation to help people living with social anxiety disorder and their families effectively exercise their right to an appropriate provider.

One in eight people lives with social anxiety disorder. As the third most-common mental health condition, it’s everywhere, yet greatly misunderstood, misdiagnosed, and mistreated. But there is help. And with access to the right treatment, individuals can expect to lead quality lives. However, lack of basic awareness and understanding about the disorder presents a major barrier to quality care. Addressing this challenge begins with getting essential information into the hands of the right people:  individuals living with social anxiety disorder, teachers, parents, and health professionals.

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Back to School Anxiety. What is Your School Doing to Help Your Child Succeed?

Anne Marie Albano, PhD
Associate Professor, Clinical Psychology in Psychiatry
Director, Columbia University Clinic for Anxiety and Related Disorders, Columbia University Medical Center

Classrooms are ripe for social anxiety triggers
From being called on in class to navigating the hallways, school is rife with social stressors. However, for children and teens with social anxiety disorder, school can be even more stressful, as school presents a full day of social interactions with peers and authority figures. The day can harbor countless opportunities to be embarrassed or say something humiliating. As a result, many young children with social phobia have a hard time transitioning to school and may cling to parents or have long, tearful good-byes. Older children and teens may simply refuse to go to school.

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When Young People Suffer Social Anxiety Disorder: What Parents Can Do

Anne Marie Albano, Ph.D.
Associate Professor, Clinical Psychology in Psychiatry
Director, Columbia University Clinic for Anxiety and Related Disorders,
Columbia University Medical Center

Social anxiety disorder (SAD), or social phobia, can have a crippling effect on young people. Children who avoid raising their hand or speaking up in school can become tweens who withdraw from extracurricular activities, and then teens who experience isolation and depression. In fact, children with social anxiety disorder are more likely than their peers without SAD to develop depression by age 15 and substance abuse by age 16 or 17.

As they head toward adulthood, young people with social anxiety disorder tend to choose paths that require less involvement with other people, and so cut short a lot of opportunities. Bright, intelligent young people who have yearnings to be lawyers or doctors, but cannot interact with other people, may choose a profession or work that is very solitary; or they might not enter the work force at all.

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Understanding the Unique Barriers for People with Social Anxiety Disorder

Today we begin a series from the Anxiety and Depression Association of America, a national organization of researchers and clinicians focusing on science, treatment, prevention, and cure of these disorders. In the coming weeks we will share posts from members of this organization shedding light on the disorder, by creating awareness about symptoms, treatment and support.

Mark Pollack, M.D.
Grainger Professor and Chairman, Department of Psychiatry,Rush University Medical Center, and President, Anxiety and Depression Association of America

People with social anxiety disorder (SAD) face unique challenges when it comes to accessing mental health care, and many struggle for years before seeking any type of treatment. For family members supporting an individual with SAD, gaining a deeper understanding of the disorder can help you guide your loved one toward appropriate care and an improved quality of life.

About social anxiety disorder
Social anxiety disorder(SAD), also called social phobia, causes extreme self-consciousness in everyday social situations. ( People with SAD have a strong fear of embarrassing themselves or being judged by others. It interferes with an individual’s ability to form relationships, succeed at school or work, and complete everyday tasks that involve interacting with others in person or even on the phone. SAD can have a significant impact on nearly every aspect of a person’s life.

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Readers Reveal Thoughts about HIPAA Reform in Online Survey

During the month of June, Care For Your Mind explored with our readers the nuances of HIPAA regulations. Each weekly post included a short poll to assist in better understanding the views of the CFYM readership around this topic. The polls asked questions about individual privacy protection, as well as a family member’s right to be involved in a loved one’s mental health care.

Readers Reveal Thoughts about HIPAA Reform in Online Survey

CFYM readership while not self-disclosing, is positioned towards individuals living with a mood disorder, their families, and policy makers. It would be reasonable to believe that readers responding to the polls fall into one of those three categories. However, because respondents are not asked to self-disclose, one cannot not make any calculations about trends within those categories.

What can be determined from the poll results, is that further dialogue about individual privacy protection and the rights of family members to be included when a loved one’s mental health is at stake needs to continue.

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Coordinating Patient Care in the HIPAA Era

Leslie Secrest, MD
Chairman of the Department of Psychiatry at Texas Health Presbyterian Hospital Dallas

In our final post discussing the effect HIPAA policy and regulations have on both individuals living with a mood disorder and their families, we look at the implications of sharing elements of mental health treatment as part of the electronic health record (EHR).

Coordinating Patient Care in the HIPAA Era

Protecting patient privacy has long been a vital, but complicated priority for mental health care providers. In guarding our patients’ privacy, we aim to defend against prejudicial or discriminatory care. We balance those concerns with the realization that a patient’s health could be jeopardized if other providers do not have access to the full health picture. Sharing elements of a mental health record is, at times, in a patient’s best interest.

With the advent of electronic health records (EHR), it has become easier to control who has access to a person’s mental health information, and who does not. For instance, the EHR system that my hospital uses allows me to restrict mental health information to only the providers that I name. Certain keywords in the notes also trigger automatic privacy settings.

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How Are States Addressing Patient Mental Health Privacy?

JenniferPhotoJennifer Bernstein, JD, MPH
Senior Attorney, The Network for Public Health Law—Mid-States Region
University of Michigan School of Public Health

We continue our series on the interplay between patient privacy and families’ interest in their loved one’s care. Here, Attorney Jennifer Bernstein covers what two states are doing to allow for increased family involvement.

How Are States Addressing Patient Mental Health Privacy?
Though HIPAA is not necessarily a bar to family members obtaining information about their loved ones with mental illness, the wishes of patients are usually paramount. Some states have adopted more innovative legal provisions to help assist families and patients in both protecting privacy while improving care.

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