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Archive for the ‘Mental health’ Category

Suicide warning over some anti-depressants

Saturday, December 24th, 2011

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By Jennifer Hough (Irish Examiner)

Saturday, December 24, 2011

THE Irish Human Rights Commission (IHRC) has written to the Medical Council, requesting thatpatients are informed that certain anti-depressants can cause suicidal thoughts as a potential side effect.

The IHRC is also urging ongoing supervision when the drugs are prescribed. The anti-depressants are known are SSRIs, and popular brands include Prozac, Zoloft, Lexapro Paxil and Celexa.

The move came after a request to the IHRC for an inquiry into the prescribing of such drugs from the mother of 22-year-old Shane Clancy, who took his own life after fatally stabbing another man a month after he began taking anti-depressants.

Leonie Fennell believes her son had a serious adverse reaction to citalopram, as it was found he had high levels of the tablets in his system.

An expert witness at his inquest, Dr David Healy, the professor of psychiatry at Cardiff University in Wales, told the court that behaviour such as suicidal or violent thoughts or actions, seen in some patients prescribed SSRIs, arose from the drugs and not from the patient’s condition.

Such extreme side effects are rare, but there is evidence that in a minority of cases, SSRIs can cause a person’s behaviour to change dramatically.

This week, the IHRC wrote to the Medical Council asking that patients be informed and closely monitored.

It also suggested that the consistency of care of someone presenting with symptoms of depression would be served by ensuring the following matters are expressly required to be explored and addressed by the medical practitioner with their patient:

* Discussion of alternate therapies.

* Referrals for counselling/ psychiatric review.

* Within medical practices, seek to ensure the same doctor deals with the person at all stages if at all possible.

* Oral explanation of risks/ side effects of SSRIs in advance of prescription, together with relevant written information.

* Guidelines regarding prescribing SSRIs from initial stage through ongoing treatment.

* Level of monitoring and ongoing supervision required when SSRIs are initially prescribed.

* Maintenance of adequate consultation notes.

* The necessity to obtain a full patient history before prescribing SSRIs.

Ms Fennell said she was happy the IHRC seemed to be taking the issue seriously.
“Finally somebody is taking us seriously and asking for changes to be implemented in the way SSRIs are being prescribed by medical professionals in Ireland,” she said.

In 2004, the US Food and Drug Administration issued a public warning about an increased risk of suicidal thoughts or behaviour in children and adolescents treated with SSRIs.

In 2006, the warning was extended to include adults up to the age 25.

Read more: http://www.examiner.ie/ireland/health/suicide-warning-over-some-anti-depressants-178243.html#ixzz1hRm8uxGU

Action Signals – Use Negative Emotions as a Call to Action

Sunday, August 7th, 2011

“Insanity is doing the same thing over and over again and expecting different results.” — Albert Einstein

You can use how you feel to make your life better.  While negative emotions may be painful, they may also be our best friend.   We can use them to change the quality of our life immediately.

I was listening to Tony Robbins talk about how we could master our emotions.   He said that the key to mastering emotions is to use them as a call to action.   Every emotion has a message for you.  Appreciate the message.  Negative emotions are a signal that change is needed.  You can either change your perception or change your approach.

Change Your Perception or Change Your Procedure
What if you knew that no matter what negative emotion you felt, in a moment or two you could  get out of that feeling?   According to Tony, you can.  At any moment when you feel any negative emotion, the first step is to identify the Action Signal.  The Action Signal is the message that the particular negative emotion means.   The next step, after you clarified the Action Signal, is to take action by either changing your perception or changing your procedure.  You change your perception by changing how you look at it or what you focus on.  You change your procedure by changing your approach or how you are responding in the situation.

10 Types of Emotions
According to Tony, here are the 10 broad categories of emotions to use for this exercise:

  1. Uncomfortable – Impatient, uneasy, distressed, mildly embarrassed.
  2. Fear – Concern, apprehension, scared, terrified.
  3. Hurt -  Sense of loss.
  4. Anger – mildly irritated, resentful, livid, rage.
  5. Frustration – held back or hindered in the pursuit of something.
  6. Disappointment – sad, defeated.
  7. Guilt – emotions or regret.
  8. Inadequacy – less than or unworthy.
  9. Overloaded – overwhelmed, hopeless, or depressed.
  10. Loneliness – apart or separate from.

This is the set of negative emotions that we’ll turn into Action Signals.  Instead of getting controlled by these emotions, we’ll use them as signals to take action.  That action is to either change our perception or change our behavior.

Action Signals
According to Tony, here are what the 10 Action Signals mean:

  1. Uncomfortable -  When you feel uncomfortable, this is a signal to change your state.  Clarify what you want, then take action in that direction.
  2. Fear – Fear is a signal to prepare ourselves or get prepared.  Get yourself prepared to deal with something that’s about to come.  If it’s beyond your control, then change your perception and let it go.
  3. Hurt -   Hurt is a signal that you have an expectation that’s not being met or you have a sense of loss.   Evaluate whether there really is a loss.   Next, change your perception or change your way of communicating your needs or change your behavior.
  4. Anger -  This is a signal that an important rule that you have in your life has been violated by somebody else or maybe even you.  Clarify your rules or adjust them.  Your rules might not match other people’s rules so if you don’t change them, you might be angry the rest of your life.
  5. Frustration -  The signal is you’re doing the same thing over again and expecting a different result.  You need to change your approach to achieving your goal.
  6. Disappointment – This is a signal that you need to realize that an expectation or an outcome you had won’t happen, and you need to change your expectation.  For example, maybe your timeframe was too short.
  7. Guilt – Guilt is a signal that you violated one of your own standards.  Don’t stay in guilt, but don’t deny it.  Make things right when you screw up. When you can’t change the past, change your present and future behaviors.  Recognize when you’re feeling guilty when you shouldn’t be, change your perception, and let it go.
  8. Inadequacy – This is a signal that you need to do something to get better.  Get up and do something to get better or change your criteria.  Maybe your rules are too harsh.  You don’t have to be perfect – you simply need to start taking action, such as go practice, to improve at whatever it is.
  9. Overloaded –  This is a signal to reevaluate what is most important to you in this situation.  Distinguish between what is a necessity versus. what is a desire.  Prioritize your list.  Take the first one on your list and do something about it.  Do something to take control of events instead of let them control you.  The simplest way is to chunk it down, take one thing, and act on it.
  10. Loneliness -  The signal is we need a connection with people.  Clarify what kind of connection you need: basic friendship, somebody to laugh with, somebody to listen to you, etc.  Then change your approach or change your perception.

Californian Prisons Judged to be Cruel and Unusual

Tuesday, July 5th, 2011

The U.S. Supreme Court has ordered California to reduce its number of prisoners by 30,000 in the next two years, as overcrowding has led to conditions the court judges say are ‘cruel and unusual punishment’ – prohibited under the U.S. constitution.

The area of mental health has been found to be particularly lacking, with overcrowding increasing and worsening mental health problems, as well as leading to long waiting times for even the most basic forms of treatment.

Prison is meant to punish, but it is also meant to rehabilitate. In our recent group discussions of rehabilitation at Sankalpa, we talked about the meanings of the word. Its origins are French, and it essentially means ‘to make fit again’ – to restore ability.

You commit a crime, you suffer the punishment; fair enough. But unless we take the rehabilitation part of prison seriously, and begin to look at ways of increasing the abilities of prisoners, they will never be ‘fit again’ for society. Whatever we might think about the human rights of prisoners, for our own sakes, we should want prisoners to become more able – more able to work, more able to stay within the confines of the law, more able to look after themselves and their families. Wouldn’t that make things better for everyone?

See:

http://www.newscientist.com/blogs/shortsharpscience/2011/06/california-ordered-to-

shrink-n.html

Surviving Mental Ill Health

Sunday, April 17th, 2011

There is an interesting article in the Irish Times this week by Stephanie McDermott,who calls herself a ‘mental ill health survivor’.

Wouldn’t it be great if everyone who suffered from mental ill health and recoveredwas described as a survivor instead of ‘in remission’? Mental health problems or illnesses have many causes and contributory factors; biology, psychology, chemistry, genetics, environment, society….in as many combinations as you can think of.

Imagine if we saw mental ill health as a challenge instead of a problem. Then it mightbe something to overcome rather than something that you were stuck with forever.We might even be able to talk about it……

http://www.irishtimes.com/newspaper/health/2011/0419/1224294972488.html