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Suicide: Risks and Warning Signs

by Barry Thompson MD, MA on March 30, 2010

in suicide

To give you some idea of the scope of the problem, suicide was the 11th leading cause of death in the U.S. in 2006; in that year, over 30,000 Americans committed suicide (according to the National Institute of Mental Health).

In young people between the ages of 15 and 24, suicide was the third leading cause of death in that same year (2006). In the elderly (over age 65) suicide occurs more frequently (14.2 deaths/100,000 population) than the national average (10.9 deaths/100,000 population).

Up to 80% of people that commit suicide will provide some clue prior; approximately 20% do not. 70% of successful suicides are by males; of the total attempts across sexes, 70% are made by females. In other words, more attempts are made by women, but more successful attempts are made by men.

Of all the risk factors for suicide, the single most important one is a past history of a suicide attempt, either personally or by a family member. Other risk factors include:

  1. physical illness (real or perceived)
  2. loss of social status (e.g., social disgrace)
  3. personal loss (of a loved one)
  4. financial loss
  5. drug/alcohol abuse
  6. family/personal history of mental disorder or substance abuse
  7. availability of a firearm
  8. violence within the family

Here are some of the early warning signs of suicide to look for:

  1. feeling helpless, hopeless
  2. sad or “blue” almost all the time
  3. unable to experience joy
  4. loss of interest in usual activities
  5. social withdrawal
  6. significant mood changes
  7. change in personality
  8. talking of death or suicide
  9. having a plan
  10. access to a weapon or other means

If you notice the above thoughts, feelings, or behaviors in a friend, loved one, or even a business client (for instance, in the face of a financial loss), consider asking them about suicidal thoughts. It shows that you care, you’re there to help, and might begin the process of getting that person the professional help they need. Remember; you will not increase someone’s risk of suicide by asking!

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Anger and Your Heart-A New Twist

by Barry Thompson MD, MA on March 30, 2010

in mind-body connection

There have been a number of studies over the years describing the relationship between emotions and physical illness. Simply put, it is impossible to separate our emotional and physical selves; over the years, this has come to be referred to as the mind-body connection.

Therefore it is not surprising that one of our more powerful emotions, anger, has been associated with physical disease. For the most part, it has come to be understood that both stifled anger and high levels of anger are risk factors for coronary heart disease, or heart attack.

In a study published earlier this year in the American Heart Journal, authors Davidson and Mostofsky looked not only at anger, but at various types of anger. Specifically, they found that different kinds of anger impart different levels of CHD risk. In other words, it’s not so much that one is angry, it’s how that anger is expressed that seems to matter.

For the purposes of the study, anger was classified as being either constructive anger (when anger is discussed  as part of a problem-solving process), destructive anger justification (blaming others for one’s own angry feelings), or destructive anger rumination (brooding angrily over some event and “holding it in”). In the former expression of anger, it tends to be resolved and “worked out” as part of a process of conflict resolution. In the latter two subtypes, one’s anger only becomes intensified.

Not surprisingly, the researchers found that the risk of CHD was decreased in constructive anger relative to the other two subtypes (unfortunately, the effect was not gender-neutral; it was seen only in men).

This does not mean that anger is necessarily good for the heart; it simply means that (in men) there is less risk of CHD if it is expressed constructively.

I cannot provide a link to the full AHJ article; click here for the abstract.

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Psychotherapy in the Treatment of ADHD

December 7, 2009

e-pearls newsletter, November 2009
Introduction
While researching ADHD recently, I came across a couple of papers that detailed some of the psychotherapeutic techniques that have been shown to be effective in clients with ADHD, and I thought I’d share them with you. As usual however, first some background.

ADHD: A Brief Overview
ADHD is a disorder comprised of [...]

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Burnout was first described in the mid-1970’s by Herbert Freudenberger, who was a psychiatrist working in an alternative health care agency at the time. Because of this, the early writings on burnout focused primarily on the experiences of health-care workers.
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Partial Seizures and Panic Attacks

July 15, 2009

epearls newsletter, July 2009:
Introduction
In light of my interest in panic disorder, this month’s e-pearls is devoted to the relationship between panic attacks and partial seizures. The fact that partial seizures can present as panic attacks is a perfect example of the overlap between neurology and mental health, and underscores the need for mental-health practitioners [...]

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I’m sure many of you have come across this situation: Your father or mother retires at age 65 or so and spends the rest of his or her days “relaxing.” After several years of puttering around the yard, visiting the grandchildren, and watching “Wheel of Fortune,” you notice that their mental abilities aren’t quite as [...]

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Fibromyalgia is a disorder that is often associated with severe, ongoing musculo-skeletal pain and stiffness, (pain and stiffness in muscles and joints), and an increased perception of pain in response to stimuli that ordinarily would not be painful (such as gentle pressure). Obviously this can be, and often is, quite disabling. It is also frequently [...]

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Happiness and Positive Psychology

June 24, 2009

As I mentioned in my last post, happiness is no doubt the central goal of every sentient creature on the planet. I also talked some about ways to increase our level of happiness, namely in expressing positive emotion and being altruistic toward others. In today’s post, I’d like to introduce and briefly outline a relatively [...]

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Happiness

June 20, 2009

I think most of us have had the experience of being amazed at how happy some people can be, even when faced with very unpleasant life circumstances. On the other hand, there are many people (some well-known celebrities come to mind) that appear to be blessed with “everything” in life, yet are plagued by personal [...]

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Obsessive-Compulsive Disorder and Schizophrenia

June 15, 2009

epearls newsletter, April 2009:
I was struck not long ago by the clinical similarities between obsessive-compulsive disorder and schizophrenia (referred to in the literature as so-called schizophrenia spectrum disorders, or SSD’s), so much so that I went to the literature to learn more about their relationship.  I hereby present to you the results of my brief [...]

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