psychological health & wellness university counseling services joe hamilton, m.a., l.p.c....
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Psychological Psychological Health & Health & WellnessWellnessUniversity Counseling University Counseling
ServicesServices
Joe Hamilton, M.A., L.P.C.Joe Hamilton, M.A., L.P.C.
Assistant DirectorAssistant Director
785-4014785-4014
[email protected]@truman.edu
DefinitionsDefinitions Psychological HealthPsychological Health - A general term for a - A general term for a
state of emotional and psychological well-being state of emotional and psychological well-being that allows you to function in society and meet that allows you to function in society and meet the demands of everyday life. (Mayo Clinic)the demands of everyday life. (Mayo Clinic)
Emotional wellnessEmotional wellness is demonstrated by the is demonstrated by the overall comfort with and acceptance of one's full overall comfort with and acceptance of one's full range of feelings. Positive emotions such as range of feelings. Positive emotions such as happiness, amusement, excitement, happiness, amusement, excitement, contentment and love contribute to our overall contentment and love contribute to our overall sense of well-being. It is striving to meet sense of well-being. It is striving to meet emotional needs constructively. It is maintaining emotional needs constructively. It is maintaining good mental health, a positive attitude, high good mental health, a positive attitude, high self-esteem, and a strong self-image. self-esteem, and a strong self-image. (globalserve.net)(globalserve.net)
Psychological HealthPsychological HealthAbraham MaslowAbraham Maslow
Self-ActualizedSelf-Actualized RealismRealism AcceptanceAcceptance AutonomyAutonomy IntimacyIntimacy CreativityCreativity
Other Attributes to Achieve Other Attributes to Achieve Psychological HealthPsychological Health
Maintaining BalanceMaintaining Balance Strong Support SystemStrong Support System Manage StressManage Stress Being Resilient / Letting GoBeing Resilient / Letting Go Having a PurposeHaving a Purpose OptimismOptimism Confidence Confidence
Other Attributes to Achieve Other Attributes to Achieve Psychological Health Psychological Health
ContinuedContinued Authentic HappinessAuthentic Happiness Being at Peace with OneselfBeing at Peace with Oneself Ability to Achieve RelaxationAbility to Achieve Relaxation Have appropriately High Self-Have appropriately High Self-
EsteemEsteem Problem Solving SkillsProblem Solving Skills Good Communication SkillsGood Communication Skills
Common Psychological Common Psychological ConcernsConcerns
National statistics indicate that up to National statistics indicate that up to 32 – 50% of Americans will have a 32 – 50% of Americans will have a diagnosable mental illness during diagnosable mental illness during their lifetime their lifetime Anxiety Disorders (14.4 – 17.2% a year)Anxiety Disorders (14.4 – 17.2% a year) Substance abuse (8.8 – 11.3% a year)Substance abuse (8.8 – 11.3% a year) Mood Disorders (4.3 – 11.3% a year)Mood Disorders (4.3 – 11.3% a year)
Major Depressive DisorderMajor Depressive DisorderSymptomsSymptoms
SSad, empty or anxious moodad, empty or anxious mood**
IInterest/pleasure in activities diminishednterest/pleasure in activities diminished**
GGuilt feelings or feeling worthlessuilt feelings or feeling worthless
EEnergy level low or feeling tired and fatiguednergy level low or feeling tired and fatigued
SSleep difficulties such as insomnia or leep difficulties such as insomnia or oversleepingoversleeping
CConcentration difficulties, trouble making a oncentration difficulties, trouble making a decisiondecision
AAppetite increase or decreaseppetite increase or decrease
PPsychomotor agitation or retardationsychomotor agitation or retardation
SSuicidal ideation or thoughts of deathuicidal ideation or thoughts of deathUp to 21% of women and 13% of men are diagnosed Up to 21% of women and 13% of men are diagnosed
with Major Depression episode in their lifetime.with Major Depression episode in their lifetime.
The Brain, Stress and The Brain, Stress and DepressionDepression
Chemical ImbalanceChemical Imbalance The release of stress hormones The release of stress hormones
triggers fight or flight response triggers fight or flight response and researchers believe a and researchers believe a malfunction in this system often malfunction in this system often underlie depression. underlie depression. http://www.sfn.org/index.cfm?http://www.sfn.org/index.cfm?pagename=brainBriefings_depressionAndStpagename=brainBriefings_depressionAndStressHormonesressHormones
Suicide RatesSuicide Rates MissouriMissouri
704 completed suicides annually704 completed suicides annually 6,906 hospitalized attempts per year6,906 hospitalized attempts per year Average of 19 serious attempts per dayAverage of 19 serious attempts per day Higher state suicide rate than national averageHigher state suicide rate than national average
MO 13.4 vs. USA 11.4MO 13.4 vs. USA 11.4 In 2003, suicide was the second leading cause In 2003, suicide was the second leading cause
of death of those age 15-24 & 25-34 of death of those age 15-24 & 25-34 Colleges studentsColleges students
Suicide rate for college-attending young adults Suicide rate for college-attending young adults has been approximately 7.5 per 100,000 has been approximately 7.5 per 100,000 students per year.students per year.
Suicide rate for college students is Suicide rate for college students is approximately one half the rate of their non-approximately one half the rate of their non-attending peers.attending peers.
What can I do about What can I do about Suicide?Suicide?
For Health Issues we do CPR.For Health Issues we do CPR. For Suicide Issues we do QPRFor Suicide Issues we do QPR
Question the person about suicideQuestion the person about suicide Do they have thoughts? A plan? Don’t be scared Do they have thoughts? A plan? Don’t be scared
to ask!to ask! Persuade the person to get help.Persuade the person to get help.
Listen carefully. Then say “Come with me to find Listen carefully. Then say “Come with me to find help.”help.”
Refer for HelpRefer for Help University Counseling Services 785-4014University Counseling Services 785-4014 1-800-SUICIDE1-800-SUICIDE
Common Psychological Common Psychological ProblemsProblems
Bipolar DisorderBipolar Disorder A clinical course where people rotate A clinical course where people rotate
between depressive and manic statesbetween depressive and manic states Manic state:Manic state:
Inflated self-esteemInflated self-esteem Decreased need for sleepDecreased need for sleep More talkative than usualMore talkative than usual Racing thoughtsRacing thoughts Very distractibleVery distractible Increase in goal-directed activityIncrease in goal-directed activity Excessive involvement in pleasurable activitiesExcessive involvement in pleasurable activities
Common Psychological Common Psychological ProblemsProblems
Anxiety DisordersAnxiety Disorders Typical symptoms include:Typical symptoms include:
Physical symptoms (increased heart rate, Physical symptoms (increased heart rate, sweating, shortness of breath, chest pain, sweating, shortness of breath, chest pain, chills or hot flashes, dizziness, trembling, chills or hot flashes, dizziness, trembling, muscle tension, etc.)muscle tension, etc.)
Thoughts/Fears of dying or going crazyThoughts/Fears of dying or going crazy Difficulty concentrating/Mind going blankDifficulty concentrating/Mind going blank IrritabilityIrritability Sleep disturbanceSleep disturbance
Common Psychological Common Psychological ProblemsProblems
Types of Anxiety DisordersTypes of Anxiety Disorders PhobiasPhobias
Up to 15% of women and 11% of men are Up to 15% of women and 11% of men are diagnosed with Social Phobia during lifetimediagnosed with Social Phobia during lifetime
Panic DisorderPanic Disorder Generalize Anxiety DisorderGeneralize Anxiety Disorder Obsessive-Compulsive Disorder (OCD)Obsessive-Compulsive Disorder (OCD) Post-Traumatic Stress Disorder (PTSD)Post-Traumatic Stress Disorder (PTSD)
Other Psychological Other Psychological DisordersDisorders
SchizophreniaSchizophrenia Substance Abuse DisordersSubstance Abuse Disorders Learning DisordersLearning Disorders Attention Deficit/Hyperactivity DisorderAttention Deficit/Hyperactivity Disorder Eating Disorders (Anorexia and Bulimia)Eating Disorders (Anorexia and Bulimia) Intermittent Explosive Disorder (7.3% Intermittent Explosive Disorder (7.3%
lifetime)lifetime) three episodes of impulsive aggressiveness three episodes of impulsive aggressiveness
“grossly out of proportion to any precipitating “grossly out of proportion to any precipitating psychosocial stressor,” at any time in their life psychosocial stressor,” at any time in their life (National Institute of Health)(National Institute of Health)
2006 National College Health 2006 National College Health AssessmentAssessment
Within the last school year, Truman Within the last school year, Truman students reported experiencing students reported experiencing (based on (based on 552 responses):552 responses):
DepressionDepression 19.7%19.7% Anxiety DisorderAnxiety Disorder 13.8%13.8% Seasonal Affective DisorderSeasonal Affective Disorder 12.5%12.5% BulimiaBulimia 2.9%2.9% Substance Abuse ProblemSubstance Abuse Problem 2.4%2.4% Anorexia Anorexia 1.8%1.8%
2006 NCHA Findings2006 NCHA Findings
Truman students reported that the Truman students reported that the following affected their academics:following affected their academics: StressStress 39.6%39.6% Sleep DifficultiesSleep Difficulties 27.1%27.1% Concern for friend/familyConcern for friend/family 20.4%20.4% Depression/AnxietyDepression/Anxiety 18.8%18.8% Internet/GamingInternet/Gaming 15.1%15.1% Relationship DifficultyRelationship Difficulty 14.6%14.6%
Truman students reported that the Truman students reported that the following affected their academics:following affected their academics: Death of friend/familyDeath of friend/family 8.0%8.0% Attention Deficit DisorderAttention Deficit Disorder 6.4%6.4% Alcohol UseAlcohol Use 5.8%5.8% Eating Disorder/ProblemEating Disorder/Problem 2.4%2.4% Sexual AssaultSexual Assault 1.5%1.5% Drug UseDrug Use 1.3%1.3%
2006 NCHA Findings 2006 NCHA Findings continuedcontinued
2006 NCHA Findings2006 NCHA Findings Truman students reported the Truman students reported the
following during the last school year:following during the last school year: Feeling OverwhelmedFeeling Overwhelmed
Never (2.4%)Never (2.4%) 1-10 Times (66.7%)1-10 Times (66.7%) 11+ Times (31%)11+ Times (31%)
Feeling Very SadFeeling Very Sad Never (17%)Never (17%) 1-10 Times (69.8%)1-10 Times (69.8%) 11+ Times (13.2%)11+ Times (13.2%)
2006 NCHA Findings2006 NCHA Findings Truman students reported the Truman students reported the
following during the last school year:following during the last school year: Feeling Things Were HopelessFeeling Things Were Hopeless
Never (32.7%)Never (32.7%) 1-10 Times (58.9%)1-10 Times (58.9%) 11+ Times (8.4%)11+ Times (8.4%)
Feeling So Depressed it was Difficult to Feeling So Depressed it was Difficult to FunctionFunction Never (55.1%)Never (55.1%) 1-10 Times (38.3%)1-10 Times (38.3%) 11+ Times (6.6%)11+ Times (6.6%)
2006 NCHA Findings2006 NCHA Findings Truman students reported the Truman students reported the
following during the last school year:following during the last school year: Seriously Considering Attempting Seriously Considering Attempting
SuicideSuicide Never (90.7%)Never (90.7%) 1-10 Times (8.2%)1-10 Times (8.2%) 11+ Times (1.1%)11+ Times (1.1%)
Attempting SuicideAttempting Suicide Never (98.5%)Never (98.5%) At Least Once (1.5%)At Least Once (1.5%)
2006 NCHA Findings2006 NCHA Findings
Truman students that reported being Truman students that reported being diagnosed with depression:diagnosed with depression:
Males 12.6%, Females 16.2%Males 12.6%, Females 16.2%
Of those who reported a diagnosis of Of those who reported a diagnosis of depression:depression:
Currently in TherapyCurrently in Therapy Males 17.6%, Females 22.4%Males 17.6%, Females 22.4%
Currently Taking Medication:Currently Taking Medication: Males 23.5%, Females 44.8%Males 23.5%, Females 44.8%
What Causes Psychological What Causes Psychological Problems?Problems?
There appears to be many There appears to be many factors. These include:factors. These include: Genetic componentsGenetic components Environmental componentsEnvironmental components Individual characteristicsIndividual characteristics
So what can I do to be So what can I do to be psychologically healthy?psychologically healthy?
Do the things we talked about at the Do the things we talked about at the beginning of our talk today:beginning of our talk today:
Self-ActualizedSelf-Actualized RealismRealism
AcceptanceAcceptance AutonomyAutonomy
IntimacyIntimacy CreativityCreativity
Maintaining BalanceMaintaining Balance Strong Support SystemStrong Support System
Manage StressManage Stress Being Resilient / Letting Being Resilient / Letting GoGo
Having a PurposeHaving a Purpose OptimismOptimism
ConfidenceConfidence Authentic HappinessAuthentic Happiness
Being at Peace with OneselfBeing at Peace with Oneself Ability to Achieve Ability to Achieve RelaxationRelaxation
High Self-EsteemHigh Self-Esteem Problem Solving SkillsProblem Solving Skills
Good Communication SkillsGood Communication Skills
Some other things to help Some other things to help be psychologically healthy?be psychologically healthy?
ExerciseExercise Laugh moreLaugh more Put things in perspectivePut things in perspective Get appropriate rest/sleepGet appropriate rest/sleep Practice stress management Practice stress management
techniquestechniques Deep BreathingDeep Breathing MeditationMeditation ImageryImagery
Seek professional assistanceSeek professional assistance
University Counseling University Counseling ServicesServices
Free and confidential counseling to Truman Free and confidential counseling to Truman studentsstudents
6 Full-time professional therapists6 Full-time professional therapists Offer individual, relationship and group Offer individual, relationship and group
counselingcounseling Open 8-5 M-FOpen 8-5 M-F Plus on call 7 days a week, 24 hours a day Plus on call 7 days a week, 24 hours a day
(during academic year) 665-5621(during academic year) 665-5621 Willing to do presentations to any group over Willing to do presentations to any group over
a wide variety of topicsa wide variety of topics Referral assistanceReferral assistance
University Counseling University Counseling ServicesServices
(660) 785-4014(660) 785-4014
202 Patterson (located west of Grim Hall)202 Patterson (located west of Grim Hall)
http://ucs.truman.eduhttp://ucs.truman.edu
[email protected]@truman.edu
THANK YOU!!THANK YOU!!
ANY QUESTIONS?ANY QUESTIONS?