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11 Impactful Benefits of Grief Counseling — Talkspace


Published on: 08 Jan 2024

Grief is something everyone will experience at some point in life. It’s a universal reaction to loss that’s unavoidable. Yet, while it’s a journey everyone must eventually take, the path to healing from grief is unique. No two people’s experiences with grief are the same, which makes the grief journey even more lonely, painful, and difficult to navigate. The good thing is, grief counseling can help.

Grief counseling is a specific type of therapy that helps you understand and process the emotions brought on by grieving. It’s a place where you can build coping strategies and increase self-awareness as you learn to accept reality after loss.

There are several benefits to grief support therapy. From providing an open, safe space where you can express yourself, to learning complicated grief coping tools that specifically work for your needs, to coming to a place of acceptance — if you’re wondering if grief counseling is worth it, the answer is yes.  

Keep reading to learn more about the benefits of grief counseling that can help you cope with your loss.

1. Help with Understanding Grief

One of the best benefits of grief counseling might be that it can help you understand what you’re going through. Grief counselors act as a guide while you learn to process and understand the stages of grief. 

Developed by Elizabeth Kübler-Ross in her groundbreaking 1969 book, On Death and Dying, there are 5 stages of grief often referenced in counseling. 

Stages most people experience as they grieve include:

  • Denial
  • Anger
  • Bargaining
  • Depression
  • Acceptance

It’s important to note that the stages of grief are not linear or identical for everyone. How, when, and even if you experience each stage can differ from person to person. More recently, David 

Kressler added 2 more stages of grief that are commonly accepted. They are shock and testing.

2. A Safe Space to Express Emotions

It’s crucial to understand there’s no timeline for the grief journey. Most people vastly underestimate how long the grieving process takes. Research shows on average, it can take up to 2 years to heal from significant loss. 

Due to the length of time the grieving process takes, you might find it difficult to express your emotions in a place where you feel safe. It might feel like the world has moved on, but you’re stuck without a way to express yourself. Grief counseling can offer that haven, where no emotion is out of place. 

3. Coping Mechanisms

Counseling will offer a tool kit filled with grief therapy techniques and coping tools. Coping mechanisms for grief are crucial in helping you process any complicated grief emotions while you heal. 

Common coping mechanisms used in grief therapy include:

  • Journaling: Writing down your feelings and thoughts helps you process them more deeply. Research suggests that journaling can be an effective way to manage anxiety, stress, and depression, which are often related to loss.
  • Deep breathing: The art of deep breathing is a way to calm the mind and regain control over your emotions. There are several breathing techniques you can learn in therapy that can help you when your grief is all-encompassing, and you can’t see a way out. 
  • Mindfulness: Mindful meditation is an ancient practice of being still. It focuses on calming the mind and letting go of regrets from the past or worries about the future. 
  • Positive reframing: In therapy, you learn how to reframe your thoughts about grief. While at first this may seem impossible — nothing good came from your loss — the concept of reframing isn’t just “looking at the glass half full.” It’s more like consciously focusing on the good memories or putting effort into a tribute for the person you lost — actions that can help relieve some of the pain you’re experiencing. 

4. Increased Self-Awareness

One of the most incredible benefits of any type of therapy is how it helps boost self-awareness. In grief therapy, you gain a good grasp and understanding of the feelings and emotions you experience during the grieving process.  

With self-awareness comes a rise in consciousness that helps you recognize unhealthy or unhelpful thought and behavior processes that might evoke psychological pain. Therapy can help you learn effective tools to manage these moments in constructive, positive ways.

5. Help with Accepting Reality

Acceptance can be one of the most complicated stages of grief to move through. Grief therapy allows you to come to terms with the harsh reality of your loss. It’s important to note that acceptance doesn’t mean forgetting about your loved one or feeling at peace with the loss. Instead, it’s knowing how to live with your new reality.

6. Reduces Isolation

Grief can be a very isolating and lonely experience. Though it’s a personal and solitary time in your life, it doesn’t have to remain that way. A grief counseling session can be comforting, and your grief therapist can offer you validation when you feel alone or like nobody understands your pain. Understanding that your feelings aren’t wrong or abnormal is vital to healing.

It’s common to feel a disconnect when you’re grieving. Therapy with a grief counselor can help you reconnect and explain where you are emotionally if others can’t see what you’re going through.

7. Restored Sense of Control

With grief often comes anxiety and stress, which can make you feel out of control. Therapy and grief counseling techniques can be a lifeline that guides you through these emotional storms so you can find calm. 

One of the most critical aspects of therapy is that it doesn’t mask symptoms. Instead, your grief therapist gives you the tools for long-term resilience so you can handle whatever else life throws at you, even when you’re in a fragile state that comes with grieving. 

Learning to master your emotions is crucial after a loss. It’s always OK to be authentic and “feel your feelings,” but knowing you can control them is empowering. It will bring hope back into view, even though grief has changed everything you know about your world. 

“Grief can change a person’s entire perspective on life. There can be overall changes in sleep patterns, eating patterns, overall energy decreases there’s forgetfulness and trouble concentrating. Mood changes like irritability and overall sadness.”

Talkspace therapist Reshawna Chapple, PhD, LCSW

8. Help with Life Transitions

By seeking therapy to manage your grief, you’ll learn how to move towards a new reality after loss with grief counseling techniques. Going to a grief counseling session can pave the way as you work toward acceptance and growth. Maybe this means adjusting to living alone or dealing with significant shifts professionally, but therapy can offer grief support as you learn to understand your new roles and territory. 

9. Effective Communication Skills

Learning to communicate effectively is a life skill you’ll benefit from long after you go through the grieving process. The capacity to communicate clearly and in a thoughtful, expressive manner allows the people around you to understand what you’re struggling with so they can surround you with a supportive and sympathetic circle as you heal. 

10. Support in Rebuilding Relationships

Grief can make sustaining relationships challenging. It’s easy to pull away from others, and feeling misunderstood, even by those closest to you, is not uncommon. Therapy can help you strengthen bonds again so you can reshape damaged relationships. 

By coping with and expressing your emotions in healthy ways, you can reestablish deep connections with people you may have distanced yourself from. 

11. Finding Meaning After Loss

It feels impossible, but you can find meaning after loss. Even when it seems like you’re drowning or that your grief is swallowing you up, grief counseling can show you how to take — sometimes very small — steps toward finding purpose. 

Loss can create a void so big that your entire worldview shifts. Therapy with a grief counselor helps you embrace the transformation loss causes, as post-traumatic growth focuses on slowly letting go of the pain you’re in.

“Through the pain, sometimes grief can put things into perspective. The grieving process can slow an individual down so much that they start to see the world differently. Through the grieving process and with the help of a grief counselor, you can find ways to put the grief into perspective. Sometimes, grief can even redefine an individual’s life purpose.”

Talkspace therapist Reshawna Chapple, PhD, LCSW

Is Grief Counseling Worth It?

It’s completely normal to wonder if grief counseling is worth it. The short answer is: yes, it is. According to research, while most people will be able to cope with grief without intervention or professional help from a grief therapist, experiencing loss is linked to both mental and physical outcomes. 

  • Mental health impact: According to research, grief is linked to an increase in poor mental health, causing higher rates of mood disorders, post-traumatic stress disorder (PTSD), depression, and anxiety.   
  • Physical impact: Some studies indicate that grief can affect physical health and even lead to an increased risk of mortality. 

Getting a hold on your grief by managing and working through it in therapy can help you ease the impact it has on your life.

Begin Your Healing Journey with Talkspace

If you need help dealing with grief, Talkspace is an online therapy platform that simplifies the therapeutic process. Online grief counseling is just as effective as in-person — it offers you access to professional, experienced grief counselors so you can find the strength you need to navigate your grief and come out on the other side.

Sources:

  1. Tyrrell P, Harberger S, Schoo C, Siddiqui W. Kubler-Ross stages of dying and subsequent models of grief. National Library of Medicine. Accessed December 12, 2023. https://www.ncbi.nlm.nih.gov/books/NBK507885/.  
  2. Grief, bereavement, and coping with loss (PDQ®). National Library of Medicine. October 18, 2022. Accessed December 12, 2023. https://www.ncbi.nlm.nih.gov/books/NBK66052/  
  3. Smyth JM, Johnson JA, Auer BJ, Lehman E, Talamo G, Sciamanna CN. Online positive affect journaling in the improvement of mental distress and well-being in general medical patients with elevated anxiety symptoms: A preliminary randomized controlled trial. JMIR Mental Health. 2018;5(4). doi:10.2196/11290. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6305886/. Accessed December 12, 2023. 
  4. Newsom C, Schut H, Stroebe MS, et al. Effectiveness of bereavement counselling through a community‐based organization: A naturalistic, controlled trial. Clinical Psychology & Psychotherapy. 2017;24(6). doi:10.1002/cpp.2113. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5763344/. Accessed December 12, 2023
  5. Zisook S, Iglewicz A, Avanzino J, et al. Bereavement: Course, consequences, and care. Current Psychiatry Reports. 2014;16(10). doi:10.1007/s11920-014-0482-8. https://link.springer.com/article/10.1007/s11920-014-0482-8. Accessed December 12, 2023. 

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6 Effective Alternatives to Antidepressant Medications — Talkspace


While depression medication efficacy is proven — and can be further enhanced when combined with therapy and other forms of depression treatment — many people seek alternatives to antidepressants. They might do so because they’re concerned about the side effects of antidepressant drugs, their medication doesn’t work the way they want it to, or they simply want to take a more holistic approach to treating their condition. 

Fortunately, there are many effective ways to manage depressive symptoms using antidepressant alternatives. Continue reading for a list of alternatives to depression medication that you can discuss with your doctor. 

1. Psychotherapy

Psychotherapy — also known as talk therapy — is a powerful tool in treating depression symptoms. Therapy teaches you how to identify and manage unhelpful thoughts, emotions, and behaviors in a healthy way so you can address symptoms of depression. If you’re seeking an alternative to antidepressants, psychotherapy is a depression treatment that can offer a promising outlook. 

Despite the common misperception that psychotherapy is “just talking.” In reality, it’s much more than this. Therapy offers an opportunity to explore thought and behavior patterns that can result in using unhealthy coping tools to manage your depressive disorder. 

There are several types of therapy for depression. Which is best will depend on you, your condition, your depression symptoms, and your goals for healing. 

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Cognitive behavioral therapy (CBT)

Cognitive behavioral therapy (CBT) is an evidence-based approach to therapy that helps people identify, and then change, negative thoughts and behavior patterns that can worsen depression. Much research has been done looking at the efficacy of CBT in treating depressive disorders. 

A meta-analysis of more than 100 studies indicates that CBT can be just as successful in treating depression as taking medication is. That said, studies consistently show that a combined approach using both CBT and antidepressant drugs typically offers the best outcomes. 

“CBT is a wonderful option to really gain some insight on your individual thoughts and patterns of behavior. With professional support, the ability to take a step back, and gain an alternate perspective can be both powerful and empowering, while giving you a chance to experience some relief from negative thinking that may be contributing to low mood.”

Talkspace therapist Elizabeth Keohan, LCSW-C, LICSW, LCSW 

Dialectical behavior therapy (DBT)

Dialectical behavior therapy (DBT) teaches skills like mindfulness and distress tolerance to help with emotional dysregulation, which is a common struggle for people living with depression. Research shows that the coping tools learned during DBT can be vital in dealing with intense emotional pain often experienced by people diagnosed with depressive disorders.  

Interpersonal therapy (IPT)

Interpersonal therapy (IPT) focuses on how to improve unhealthy dynamics in relationships. A meta-analysis that looked at more than 4,000 people found IPT to be an effective treatment for depression. The studies show efficacy, both when IPT is used as an alternative to antidepressants, as well as when it’s used in combination with medication.

Group therapy

Group therapy can offer camaraderie and comfort for people with depression. A common symptom of depression is feeling isolated and alone and that others don’t understand you. Group therapy provides a sense of community, where those in the group are surrounded by others who can relate to what they’re experiencing. Group therapy can create a safe place for members to share and heal. 

There’s a need for more research on how effective group therapy is in treating depression, but current research suggests it can reduce depressive symptoms in most people. 

2. Lifestyle Modifications

Conscientious, healthy changes to your daily routine and habits can hugely benefit your mental well-being. When the following are used as alternatives to antidepressants, the outcome can be successful — especially when paired with therapy. 

A recently published study that followed more than 197,000 participants for an impressive near-decade span (9 years) found that lifestyle factors are linked to depression risk. Those who followed a healthy lifestyle in 7 areas — including diet, alcohol consumption, sleep, physical activity, smoking, social interaction and connection, and sedentary behavior — had a significantly lower risk of depression.

Diet

Eating a balanced and healthy diet helps the body and the mind function at its best. For example, foods rich in omega-3 fatty acids, like salmon or walnuts, have been linked to reduced depressive symptoms.

Exercise

It’s well-known that working out is a natural mood booster. Regular exercise releases feel-good hormones and endorphins that relieve pain and create a sense of well-being. Research shows that implementing behavioral interventions like exercise can reduce symptoms of depression in most people. Even short walks can make a big difference in mood and function. 

Sleep habits

Maintaining a healthy sleep habit is crucial for mental well-being. Consistently getting 7 – 9 hours of quality sleep can help regulate mood and manage stress. According to research, up to 75% of people with depression also struggle with insomnia, which means making sleep a priority is even more essential. 

“Positive sleep hygiene is immensely helpful as it supports not only our clarity but also our ability to manage stress. When short on sleep it can be easy to lose sight of our positive coping skills and our confidence in daily productivity.”

Talkspace therapist Elizabeth Keohan, LCSW-C, LICSW, LCSW 

3. Natural Supplements 

Many people hoping to find antidepressant alternatives look to natural supplements as a more holistic route to managing depression. Supplements used in addition to therapy and other lifestyle changes can be very effective in offering natural depression relief. Research suggests that some natural supplements, like St. John’s Wort, can work as well as antidepressant medication. 

Natural supplements and herbs believed to help relieve depressive symptoms include:

4. Acupuncture

Acupuncture is an ancient Chinese practice involving tiny needles that stimulate specific pressure points on the body. It’s believed that acupuncture can boost energy flow to help balance emotion and mood. 

Though continued research is needed, some studies suggest acupuncture may offer clinical benefits — whether used alone or in combination with medication or other forms of treatment — in treating depression. 

5. Light Therapy

Lack of sunlight can result in decreased serotonin levels, which can trigger depression in some people. That’s why many people utilize light therapy for depression. Light therapy may be a viable option for those who experience seasonal affect disorder (SAD). The treatment method uses special lamps that mimic natural sunlight to help balance serotonin levels — which is a neurotransmitter in the brain that’s linked to mood regulation — during the winter months when daylight hours are shortened. 

“Light therapy is not to be undercut. Enhancing or adding light to our spaces, can stimulate and support what we lack so much during the shorter days. When skies are mostly gray, and the sun fades in strength, light therapy can be immediately impactful. While medication, though obviously effective, can certainly take some time to reveal noticeable mood changes.”

  – Talkspace therapist Elizabeth Keohan, LCSW-C, LICSW, LCSW 

6. Mindfulness Meditation

Meditation — the practice of being still — has been applauded for centuries as an effective way to enhance energy, boost mood, and improve overall mental well-being. 

In clinical trials, meditation was found to improve symptoms of insomnia, which we know has a direct link to depression. Other research supports meditation’s ability to alleviate depressive symptoms, and some studies show that meditation can help prevent the relapse of depressive symptoms. 

Talkspace: Your Alternative to Antidepressant Medication

Whether you’re looking for alternatives to antidepressants because you don’t like the side effects, you aren’t getting the results you want, or you just want to take a more holistic approach to treating depression, you have a lot of options. Most people find that a combined strategy that includes therapy in the treatment plan can offer the most benefits. 

Reach out to Talkspace today to learn more about alternatives to depression medication that can help you find peace and joy in life again.

Sources:

1. Pratt L a A, Gu Q, Brody DJ. Antidepressant Use in Persons Aged 12 and Over. Centers for Disease Control and Prevention. November 6, 2015. Accessed December 10, 2023. https://www.cdc.gov/nchs/products/databriefs/db76.htm

2. Gautam M, Tripathi A, Deshmukh D, Gaur M. Cognitive behavioral therapy for Depression. Indian Journal of Psychiatry. 2020;62(8):223. doi:10.4103/psychiatry.indianjpsychiatry_772_19. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7001356/. Accessed December 10, 2023. 

3. Vasile C. CBT and medication in depression (review). Experimental and Therapeutic Medicine. Published online 2020. doi:10.3892/etm.2020.9014. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7464866/. Accessed December 10, 2023.

4. Elices M, Soler J, Feliu-Soler A, et al. Combining emotion regulation and mindfulness skills for preventing depression relapse: A randomized-controlled study. Borderline Personality Disorder and Emotion Dysregulation. 2017;4(1). doi:10.1186/s40479-017-0064-6. https://bpded.biomedcentral.com/articles/10.1186/s40479-017-0064-6. Accessed December 10, 2023. 

5. Cuijpers P, Geraedts AS, van Oppen P, Andersson G, Markowitz JC, van Straten A. Interpersonal psychotherapy for depression: A meta-analysis. American Journal of Psychiatry. 2011;168(6):581-592. doi:10.1176/appi.ajp.2010.10101411. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3646065/. Accessed December 10, 2023. 

6. McDermut W, Miller IW, Brown RA. The efficacy of group psychotherapy for depression: a meta-analysis and review of the empirical research. 2001. In: Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet]. York (UK): Centre for Reviews and Dissemination (UK); 1995-. https://www.ncbi.nlm.nih.gov/books/NBK68475/. Accessed December 10, 2023.

7. Zhao Y, Yang L, Sahakian BJ, et al. The brain structure, immunometabolic and genetic mechanisms underlying the association between lifestyle and Depression. Nature Mental Health. 2023;1(10):736-750. doi:10.1038/s44220-023-00120-1. https://www.nature.com/articles/s44220-023-00120-1. Accessed December 10, 2023.

8. Sathyanarayana Rao T, Asha M, Ramesh B, Jagannatha Rao K. Understanding nutrition, depression and mental illnesses. Indian Journal of Psychiatry. 2008;50(2):77. doi:10.4103/0019-5545.42391. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2738337/. Accessed December 10, 2023. 

9. Craft LL, Perna FM. The benefits of exercise for the clinically depressed. The Primary Care Companion For CNS Disorders. 2004;6(3). doi:10.4088/pcc.v06n0301.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC474733/. Accessed December 10, 2023.  

10. Nutt D, Wilson S, Paterson L. Sleep disorders as core symptoms of depression. Dialogues in Clinical Neuroscience. 2008;10(3):329-336. doi:10.31887/dcns.2008.10.3/dnutt . https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3181883/. Accessed December 10, 2023.  

11. Nahas R, Sheikh O. Complementary and alternative medicine for the treatment of major depressive disorder. Can Fam Physician. 2011;57(6):659-663. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3114664/. Accessed December 10, 2023.  

12. Chen B, Wang CC, Lee KH, Xia JC, Luo Z. Efficacy and safety of acupuncture for depression: A systematic review and meta‐analysis. Research in Nursing & Health. 2022;46(1):48-67. doi:10.1002/nur.22284. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10108109/. Accessed December 10, 2023.

13. Kent ST, McClure LA, Crosson WL, Arnett DK, Wadley VG, Sathiakumar N. Effect of sunlight exposure on cognitive function among depressed and non-depressed participants: A regards cross-sectional study. Environmental Health. 2009;8(1). doi:10.1186/1476-069x-8-34. https://ehjournal.biomedcentral.com/articles/10.1186/1476-069X-8-34. Accessed December 10, 2023. 

14. Black DS, O’Reilly GA, Olmstead R, Breen EC, Irwin MR. Mindfulness meditation and improvement in sleep quality and daytime impairment among older adults with sleep disturbances. JAMA Internal Medicine. 2015;175(4):494. doi:10.1001/jamainternmed.2014.8081. https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2110998. Accessed December 10, 2023.

15. Jain FA, Walsh RN, Eisendrath SJ, Christensen S, Rael Cahn B. Critical analysis of the efficacy of meditation therapies for acute and subacute phase treatment of Depressive Disorders: A systematic review. Psychosomatics. 2015;56(2):140-152. doi:10.1016/j.psym.2014.10.007. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4383597/. Accessed December 10, 2023.  

16. Kuyken W, Warren FC, Taylor RS, et al. Efficacy of mindfulness-based Cognitive Therapy in prevention of depressive relapse. JAMA Psychiatry. 2016;73(6):565. doi:10.1001/jamapsychiatry.2016.0076. https://jamanetwork.com/journals/jamapsychiatry/fullarticle/2517515. Accessed December 10, 2023. 

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Do You Need Antidepressants? 6 Signs You Might — Talkspace


Published on: 09 Jan 2024

Reader’s Note: If you or someone you love is having thoughts of suicide or self-harm, reach out to the Suicide & Crisis Lifeline for free, confidential support, 24 hours a day, 7 days a week. 

If you’ve ever wondered if you need antidepressants, we’re covering everything you need to know about this treatment option, including when to consider antidepressants. 

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  • You feel persistent sadness or hopelessness
  • You feel numb or detached from reality
  • You have a pervasive sense of emptiness
  • Your symptoms affect your daily life
  • Other depression treatments don’t work
  • You have thoughts of death or suicide

If you’ve been struggling with deciding if you should go on antidepressants to treat your depression, read on to learn more. 

1. You Feel Persistent Sadness or Hopelessness 

Constantly battling a deep sense of sadness or feelings of hopelessness isn’t always just “feeling the blues.” Ongoing despair is a sign of clinical depression or severe depression. 

Depressive symptoms are different from the occasional “down day,” where you feel a little low or sad. A depressive disorder is more like an unshakable gloom and doom that persists, often for no apparent reason. Persistent sadness is one of the key symptoms of depression. Feeling overwhelmingly sad more days than not or feeling like you don’t enjoy activities you once loved can be signs you may benefit from a prescribed antidepressant medication.  

2. You Feel Numb or Detached from Reality

Severe depression can make you feel disconnected, distant, or estranged from loved ones. Emotional numbness can be likened to going through the motions of life while not really experiencing anything. This is a common sign of depression, and people often describe it as feeling like they’re walking through a fog or being detached from reality. 

If you feel a disconnection from your surroundings or that everyday activities — especially those that once brought joy — now feel mundane or burdensome, talk to your doctor. They might suggest the possibility of a prescribed antidepressant medication to help you overcome these common symptoms of depression. 

“Medications for mood, such as antidepressants or mood stabilizers, work by affecting neurotransmitters in the brain, helping to regulate mood. They can alleviate symptoms of conditions like depression or bipolar disorder, improving overall well-being. It’s important to consult with a healthcare professional to determine the most suitable medication and treatment plan for individual needs.”

Talkspace therapist Bisma Anwar, LPC, LMHC

3. You Have a Pervasive Sense of Emptiness

For some people, depressive symptoms can cause an overwhelming sense of emptiness to take over. 

It’s more than just being lonely or sad — it can feel like you’re stuck in a void, where joy and meaning are nowhere to be found. You might not be missing something specific or tangible. In fact, it’s common to not be able to express what, exactly, is missing. Instead, it just feels like an internal emptiness or hollowness that’s difficult to explain. 

If feelings of emptiness persist, it’s crucial to acknowledge them and seek professional help. How do antidepressants work to help this? Antidepressants can help restore balance and vibrancy in your life so you can fill your days back up with meaningful value and rewarding relationships and experiences. 

4. Your Symptoms Affect Your Daily Life

Depression can disrupt your regular routines and make decision-making challenging. 

In some cases, you may be able to mask symptoms of depression in the beginning. You might feel like you can deal with the fatigue, difficulty concentrating, and lack of motivation from depression Most times, though, symptoms will progress and increase in severity, and even your normal, everyday tasks, like self-care, taking a shower, getting dressed, making your bed, or eating healthy meals, can start to feel virtually impossible to take on. 

If depression is impacting your ability to perform at work or school, interfering with household responsibilities, or causing conflict in your relationships, talk to your doctor or health care provider. Getting the right treatment plan in place — which may include depression medication — can help you regain control over your life and mood.

5. Other Depression Treatments Don’t Work

Depression affects everybody differently, and as we’ve already noted, the same treatment won’t always work the same way for everyone. Sometimes, even the best efforts to manage symptoms through therapy for depression and lifestyle modifications won’t be enough. 

If you’re feeling stuck in a rut of sadness or numbness and other treatment options haven’t provided enough relief, don’t lose hope. You’re not failing, but this might indicate that you need to add another element to your treatment plan. The right medication and antidepressant dose can provide that extra bit of help when other methods aren’t fully resolving your symptoms.

“Therapy and medications are effective for treating depression because they address both the psychological and biological aspects of the condition. Therapy helps individuals explore and cope with underlying emotional issues, while medications can correct chemical imbalances in the brain associated with depression, leading to improved mood and overall well-being. Combining these approaches can result in more successful treatment for depression.”

Talkspace therapist Bisma Anwar, LPC, LMHC

6. You Have Thoughts of Death or Suicide

If you’re having thoughts of death or suicide, you must seek emergency help immediately. These are significant signs of depression that should never be taken lightly. 

People living with depression can experience suicidal ideation or thoughts of death when they believe there’s no other way out of their pain. Even if it’s difficult or impossible to see at the moment, there’s always help — there’s always a solution.

Talkspace therapist Bisma Anwar, LPC, LMHC

The Role of Antidepressants in Managing Depression

Antidepressants can play a critical role in successful management of depressive symptoms. They work by balancing neurotransmitters in the brain that impact mood and regulate emotion. Balancing chemical levels through medicine can improve mood and your outlook on life while relieving many of the symptoms commonly experienced with depression.

A meta-analysis of 52 studies found that combining therapy with medication offers the most efficacy in treating depression. Further, the review notes that positive effects can last up to 2 years post-treatment.  

Ultimately, using therapy, medication, and lifestyle changes — like exercising, journaling, eating well, and keeping a healthy sleep habit — can be a game-changing combination in treating depression. 

Get Prescribed Depression Medication with Talkspace

Knowing if you need antidepressants can be difficult, but with the help of a psychiatrist, it can be easier. If you’ve been feeling depressed and your symptoms are either worsening or have lasted longer than 2 weeks with no improvement, it’s probably time to consider your options for medicine and treatment. 

Learn more about how Talkspace can help you find the best treatment plan to manage depression symptoms that are stealing your joy. The truth is, you don’t have to live life with the debilitating symptoms of depression you’re experiencing. Help is available, and Talkspace makes it easier than ever to access. Learn how to get depression medication today.

Sources:

  1. Depressive disorder (depression). World Health Organization. Accessed December 9, 2023. https://www.who.int/news-room/fact-sheets/detail/depression.  
  2. 988 suicide & crisis lifeline. 988 Suicide & Crisis Lifeline. Accessed December 9, 2023. https://988lifeline.org/.  
  3. Cuijpers P, Sijbrandij M, Koole SL, Andersson G, Beekman AT, Reynolds CF. Adding psychotherapy to antidepressant medication in depression and anxiety disorders: A meta-analysis. World Psychiatry. 2014;13(1):56-67. doi:10.1002/wps.20089. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3918025/. Accessed December 9, 2023. 

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How to Get Psychiatric Medication without Insurance — Talkspace


Options for Obtaining Medication without Insurance

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“Mental health treatment is right for anyone who needs it. Your doctor can get you Patient Assistance Programs through pharmaceuticals, federal and state programs, or discount cards through pharmacies to get medications.”

Talkspace psychiatrist Dr. Muhammad Munir

Generic medications

Generic medications can be a lifesaver if you don’t have insurance. Believe it or not, research finds that they work the same and offer comparable clinical outcomes as brand-name drugs — but generic versions are typically drastically cheaper. 

Generic drugs have the same active ingredients as their brand-name counterparts, just without the label. The FDA ensures all generic drugs meet the same safety and efficacy standards as brand-name drugs. 

Get the most out of generic options by:

  • Asking your doctor if there’s a generic version of a drug they’re recommending
  • Checking online resources to compare price differences
  • Using retail giant pharmacies, which might offer generic prescriptions at even more reduced rates through in-house prescription programs

“Oftentimes, generic medications cost less than name brands and are still as effective. Speak with your doctor about your options.”

Talkspace psychiatrist Dr. Muhammad Munir

Patient Assistance Programs (PAPs)

Most programs will require proof of a few things, including: 

  • Income
  • The amount you make is below a specified threshold
  • You’re a legal resident or of U.S. citizenship
  • You don’t have prescription drug coverage 

You can find more patient assistance program information by checking the website of the brand name drug your doctor is prescribing.

You can also look at the following websites for more information:

  • RxHope.com
  • RxAssist.org
  • PatientAssistance.com
  • NeedyMeds.org 

Community health clinics and nonprofit groups

For more information on clinics and nonprofit groups, you can research:

  • Mental Health America’s partnerships: Mental Health America works tirelessly to improve access to mental health screenings and affordable treatment and drug options nationwide. Partnerships encourage value-based care and emphasize prevention and early intervention for those seeking care who may not have insurance coverage.
  • NAMI supportive community programs: The National Alliance on Mental Illness (NAMI) runs numerous programs aimed at support, education, advocacy, and research, all of which are vital components of comprehensive mental healthcare. Many chapters are located across the United States and offer resources that are specifically tailored to local community needs, including uninsured people who need psychiatric medication or support. 

Some nonprofit groups help pay for drugs as long as you meet their requirements. Many also help find the cheapest price for various medications. 

Some resources you may want to check out include:

  • Accessia Health
  • Partnership for Prescription Assistance
  • Patient Advocate Foundation’s Co-Pay Relief

Online pharmacies

Online pharmacies can offer savings, convenience, and privacy if you’re looking for ideas on how to get psychiatric medication without insurance. These platforms can provide medication at a lower cost than your local pharmacy can because they cut out the middleman and then pass on those savings to you. 

One caveat — not all online pharmacies are created equal. Make sure that any pharmacy you are considering ordering from is licensed, requires valid prescriptions, and has a pharmacist available for questions and guidance. The FDA has published information on safely buying medicine from an online pharmacy.

Tips for using online pharmacies with confidence:

  • Read customer reviews and make sure the majority are positive. Look for shipping complaints, overcharge claims, and customer service issues — these can all be warning signs of bad business practices you won’t want to deal with. 
  • Never order prescription drugs from an online pharmacy that doesn’t require an actual prescription. To legally obtain a prescription drug in the United States, you must have a valid prescription given to you by a licensed doctor or psychiatrist. Any pharmacy that’s willing to dispense drugs without a prescription isn’t one you can trust. 
  • Be wary of too-good-to-be-true prices. Online pharmacy drug costs will almost always be lower than what you’d pay at a brick-and-mortar location, but if a price seems unreasonably cheap, the medication might be counterfeit or expired.

State and federal programs

State and federal programs ensure affordable psychiatric meds are available to people who need them the most. Depending on your state and circumstances — such as age and disability status — Medicare or Medicaid may cover some or all of the costs of your psychiatric medication, even if you don’t have insurance. 

Medicare Part D is a prescription drug plan that helps cover the cost of drugs for Medicare beneficiaries.

Other programs include:

  • Veterans Administration (VA): The VA offers veterans access to mental health treatment and some medication at low to no cost.
  • State Pharmaceutical Assistant Programs (SPAPs): State-run programs assist with pharmaceutical costs — but not all states have them. Check availability where you live to see if this might help with the cost of your psychiatric medication if you don’t have insurance.

Discount cards and coupons

When insurance isn’t an option, discount cards and coupons can help you pay for prescription psychiatric medications at most pharmacies. You can find coupons for some drugs through specific drug companies, your doctor, or companies like GoodRx. 



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SLEEP PROBLEMS: WHEN A GOOD NIGHT’S SLEEP IS JUST A DREAM


Many of us find sleep tricky.

WHO STRUGGLES WITH SLEEP PROBLEMS?

While we don’t all have to contend with sleep disorders, many of us do cope with poor sleep, sleep problems, and/or with feeling tired all the time.

There are many sleep disorders. We will not be the first person to have struggled with sleep in the way we do.

SLEEP AND MENTAL HEALTH

Most of us can probably relate to the experience of struggling to cope with our emotions when tired. It’s often harder to regulate ourselves. We might snap at loved ones or be extra-tearful.

Lack of sleep has sadly been linked to an increase in suicidal thoughts and attempts, too.

FEAR OF GOING TO BED

Before we even get as far as snuggling down in our temperature-controlled, perfectly-dark, perfectly-comfy bedroom, some of us start to struggle.

Extreme anxiety around going to bed and/or going to sleep can be debilitating. Psyching ourselves up to go to bed can be a significant challenge. It may take hours and can lead to us being awake until far, far too late. We might even force ourselves to stay awake, even going past the point where we feel sick.

As bedtime gets closer, our anxiety ramps up. While others wind down as the evening progresses, we go in the opposite direction, possibly to the point of panic attacks. We may experience physical symptoms of anxiety, many of which are incompatible with a good night’s sleep. Every time a night doesn’t go quite to plan, it reinforces our anxious feelings.

Each of us will have our own reasons for our fears. We might not know where our fear has come from and need some support to unpick it. Alternatively, we might have a very clear idea – perhaps it’s been triggered by a specific event or circumstance.

If getting into our bed is just too hard, some of us might kip on the sofa, affecting our sleep quality. If we can make it into bed, lying down might be a barrier. So, we do things like creating a comfy nest of pillows and sleeping upright. Some need background noise – TV, podcasts, the shipping forecast, or something else. Some scroll our phones until we drop off. Blue light isn’t recommended when trying to sleep, but different things work for different people. For some of us, these are the things we need to nod off.

We might feel ashamed of our difficulties. It can seem like an odd or ‘ridiculous’ fear to have – but it isn’t. Sleep is complex. Many, many different things affect it and, in turn, it affects many things. There are so many different aspects of sleep which could cause our anxiety levels to rise. These anxieties are real. They can be debilitating. We’re not alone, and we deserve support.

Sleep problems: When a good night’s sleep is just a dream

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INSOMNIA

Those with insomnia often struggle to fall asleep and/or stay asleep. There are nights when it doesn’t matter how many sheep we count, how perfect our environment is, and how much sleepy tea we drink, we just can’t get to sleep. Frustratingly, when we do finally nod off, it might not be long before we wake up again… and then struggle to go back to sleep.

We could try bringing out bedtime forward, but that doesn’t always work. Sometimes it means that we just lie awake for longer and still don’t get many hours of sleep in before our alarm blares in the morning.

It can start to affect our relationships, work, and ability to remember things, concentrate, or focus. In fact, it can affect every area of our lives.

If it becomes a regular occurrence, it can be helpful to speak to our local pharmacy and/or GP about any support they may be able to offer.

NIGHTMARES

Most of us will have experienced nightmares at some point. They differ from bad dreams in that they wake us up. For some, nightmares are occasional and unpleasant. For others, they’re regular, affecting how much sleep we get, sleep quality, our mood, and our anxiety levels. We might start fearing sleep.

Sometimes nightmares are bizarre. Sometimes, they tap into trauma or really difficult periods in our lives. They can be extremely vivid. Sometimes it’s hard to tell whether they’re real or not. We might wake up with a speeding heart rate, sweating, and feeling anxious.

Stress, anxiety, post-traumatic stress disorder (PTSD)depressionbipolar disorder, and psychosis can increase our risk of nightmares. Sleep deprivation, medication withdrawal, and some medications can also increase our risk.

NIGHT SWEATS

We all sweat a bit in our sleep, but some of us sweat heavily. Around 10-41% of us are affected by night sweats. Those aged 41-55 are most likely to be affected.

Menopause, certain medications, hot flashes, hormone changes, cancer, infections or significant reflux can all cause night sweats.

Our body produces too much sweat – more than is needed for temperature regulation. It can disrupt our sleep, disrupt the sleep of anyone sharing a bed with us, and impact our overall quality of life.

If we’re regularly having night sweats, or they’re linked with other symptoms, it can be helpful to speak to our GP. They will be able to investigate any physical causes and might be able to recommend treatment(s) that may help us.

NIGHT TERRORS

Night terrors usually happen during the ‘deep sleep’, making them different from nightmares. They’re more common in children than adolescents or adults.

Experiencing other sleep disorders, like breathing or gastrointestinal problems, can increase our risk of experiencing night terrors. There may also be a genetic link. Being unwell, sleep deprivation and emotionally tricky times can all act as night terror triggers.

They can be terrifying, even though we’re unlikely to remember specific details of the terror. Our “fight or flight” system is activated. Our heart rate shoots up. We might sweat, overheat, get chills, move around a lot, and shake. Some of us might scream. They can interrupt our sleep and compromise our sleep quality.

If we’re concerned about any night terrors that we, or others, experience, then it’s always a good idea to discuss our concerns with our GP.

SLEEPWALKING

Some people sleepwalk during ‘deep sleep’. Sleepwalkers often don’t remember their travels. Though the term ‘sleepwalker’ implies walking, some people have been known to do activities like cleaning in their sleep, too.

It isn’t usually dangerous in itself. But if we start sleep-doing risky activities, or we live in an environment unsafe for sleepwalkers, then it can start to cause problems. Making our environment as safe as possible is important if we regularly sleepwalk. This can include things like removing piles of clothes and other trip hazards or using motion-controlled lights.

Sleepwalking triggers can include high stress levels, alcohol consumption, and lack of sleep.

SLEEP BRUXISM (TEETH-GRINDING)

Some of us regularly wake up with headaches and a sore jaw and neck. We might struggle to pin down quite why they hurt. It could be that we are grinding our teeth in our sleep.

Clenching and grinding our jaw in our sleep can be caused by high levels of anxiety and stress. The usual sleep-affecting culprits can all act as risk factors, including drinking alcohol, drinking caffeine, snoring, and experiencing low moods.

It can create significant problems for us, affecting our teeth and jaw. It can erode our teeth, and create chronic jaw pain, or jaw locking. If this is something we’re concerned about, then speaking to our dentist may be helpful.

SLEEP PARALYSIS

Sleep paralysis occurs in a state between asleep and awake, usually just after falling asleep or just before waking up. It can be incredibly scary. We’re awake but temporarily can’t use our body. We’re temporarily paralysed. Sometimes, we might feel as though we’re suffocating. Some of us will experience it once, others multiple times. Around 8% of people will experience it at some point in life.

Around 75% of those who experience sleep paralysis will hallucinate. These hallucinations can make it feel like something dangerous is nearby. We may feel like we’re suffocating, flying, or having an ‘out of body’ experience.

Some things increase our likelihood of experiencing sleep paralysis. Other sleep disorders affecting our breathing, insomnia, daytime sleepiness, dissociation, anxiety, panic disorder, and PTSD are all risk factors. Shift workers, abuse survivors, daydreamers, and those with strong imaginations also have a greater likelihood of experiencing it. Given the number of individual factors associated with sleep paralysis, it’s currently unclear whether any of them directly cause it, or whether they’re just related to it.

Though scary, sleep paralysis episodes aren’t usually physically long-lasting.. However, they can cause anxiety around going to bed or falling asleep and insomnia. If significantly impacting our life then we may want to speak to our GP.

SLEEP TALKING

Like snoring, sleep talking is something that people living with us may notice before we do. Our sleeptalking might be loud, quiet, nonsense, full sentences, individual words, or laughter. It’s fairly common – 17% of people have sleep-spoken in the last three months, and around a third of us will sleep talk at least once in our life. We are twice as likely to sleep talk if we have a diagnosed mental illness.

Sleep talking in itself is fairly harmless, but depending on the extent, it may disturb those living with us. If we’re ever concerned, especially if our sleep talking is combined with other symptoms, then it’s worth speaking to our GP.

SNORING

41.5% of UK adults are affected by snoring. An airway blockage causes the organs helping us to breathe to vibrate, creating a snore. Many snorers won’t notice their snoring, although it may occasionally wake some people up. Usually, it’s a far bigger problem for those we share a room with.

There are a few options to try and reduce snoring. We may choose to make some lifestyle changes, such as maintaining a healthy weight (if we’re able to do so), exercising regularly (within healthy limits), and drinking less alcohol. Popping in to speak to a pharmacist might also be helpful as they sometimes have good, individual, advice.

GENERAL POINTS

Sleep problems can affect us in different ways. They can negatively impact our mood, increase our anxiety levels, make us feel permanently sleep-deprived and foggy, make it hard to think and leave us so exhausted that we struggle to engage with things we enjoy.

If any of these sleep disorders are significantly affecting us, then it’s worth speaking to a pharmacist and/or GP. Different disorders can have different treatment options – this could be medication, therapy, or something else. Our GP may want to rule out any physical causes of our problems, too.

SLEEP SELF-HELP

There are things we can do to try and improve our sleep. Different things will work for different people, and sometimes pieces of general advice won’t work for us, so it can take a bit of trial and error.

Many of us have sleep struggles. It can significantly impact our mood and overall wellbeing. It’s important to remember that we don’t have to cope with it alone.

Please help us to help others and share this post, you never know who might need it.





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A Reflection on Comfort Zones – My Brain’s Not Broken


When you read the words comfort zone, what comes to mind? You might think of the way people tell us to leave them; you might wonder if you’re in one right now. A comfort zone might not be a place at all; it could be a feeling or a moment in time. It could even be a way of doing things you’re comfortable with, a routine or rhythm. Every year around this time, the idea of comfort zones pops into my head. I reflect on my own, but I also think about the idea itself. Why is it so important that we go out of our comfort zones, and why do we talk about it all the time?

As with many of the terms I talk about on this blog, I like to start with a definition. According to the Cambridge Dictionary, a comfort zone is defined as:

“A situation in which you feel comfortable and in which your ability and determination are not being tested.”

Cambridge Dictionary

When I think about how often I’m in my comfort zone, I have a hard time coming up with a good answer. It’s possible (if not probable) that I’m in my comfort zone a majority of the time. It makes sense; people have their daily routines, and finding a rhythm in my daily life is important to me. For some people, the problem might not be that they’re stuck in their comfort zone; it could be that they can’t even determine where that is.

Sometimes, we don’t know we’re in our comfort zone unless we’re removed from it. And that removal can be abrupt, swift, and uncomfortable. But it’s also where we can find out new things about ourselves, who we are, and what helps us grow. It’s that growth that can provide meaningful change in our lives, that can move us to take charge and take action.

As we start the new year, it would be easy for me to write a post urging you to get out of your comfort zone. How it’s important to get out of our comfort zones, why it’s necessary for growth, and why enough of us don’t do it. But that type of post leaves out a key aspect of comfort zones, and about change in general. Creating change and getting out of your comfort zone can happen to you, just as much as you can make it happen yourself. Encouraging someone to ‘get out of their comfort zone,’ while helpful, puts the onus on a person to create change (which is hard to do).

When it comes to comfort zones, we all have different challenges to face. What might feel impossible for one person is easy for someone else. But the thing is, if you’re looking to get out of your comfort zone, I’d encourage you to look for the opportunities that will inevitably come your way. Because the truth is, opportunities to get outside your comfort zone exist all around us – we just need to keep our eyes and hearts open for these moments.

What is your take on comfort zones? Do you think they help people grow, or do they cause stress and create burdens? Why do you think it’s so important that we break out of them? Let me know in the comments!

"One can choose to go back toward safety or forward toward growth. Growth must be chosen again and again; fear must be overcome again and again." - Abraham Maslow



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TEEN MENTAL HEALTH IN TRICKY TIMES

Young people have faced some challenges that adults haven’t. Exam uncertainty, grade mishaps, missing peers just at the time when peer relationships become all the more important and coping with remote/not remote/a bit remote schooling. Lots of us haven’t had a “normal” school year since 2018/19. It’s been tough.

Click to TweetTeen Mental Health In Tricky Times https://ctt.ac/Rbca5+ @blurtalerts

We wanted to offer some support – but all our blogs come from a place of lived experience, and though we were teenagers once, it was a different time and a different world when we were in school. Trying to write anything felt totally inauthentic, so we were delighted when Nix, a year 11 student, offered to help us.

REMOTE SCHOOL

Most of us are back in classrooms now, but still face periods of isolation due to illness, disability, or chronic health conditions.

Remote school can be tricky. It’s tough not being able to see our friends face-to-face. Motivating ourselves to do schoolwork when we’re sitting at home is often difficult, and that’s if they send us any work at all. Making this even harder is the fact that we can’t plan – we don’t know whether we’ll be in school or at home; it can change from week to week.

ANXIETY AND LEARNING

Most people have felt more anxious than normal over the last few years, and anxiety makes studying really hard.

Even a little bit of anxiety can affect our memory; we have to redo bits of learning that we’ve already tried to do once. Exams are more memory-based than they used to be. We don’t get given formula sheets and things like that, so when anxiety affects our memory, it can have a huge impact on our grades, and possibly our place in 6th form or university.

Sometimes we end up in an anxiety spiral. We’ve missed so much school over the past few years, that we often encounter things we’ve never seen before, which can make us really anxious. The more anxious we are, the more we struggle to study. The more we struggle to study, the more anxious we get.

When this happens, the best thing we can do is stop, breathe, and take a moment (yes, even in an exam!). If we are in an exam, it’s important to remember that we’ve done our best in the time we’ve had, and any questions we’ve already answered are done. Any time we have left is time to build on that, making our work even better.

SHOWING FEELINGS… OR NOT

In primary school, it often feels like it’s okay to cry. But when we get to secondary school, it can cause problems if we show too much emotion. Many of us worry that if we cry or show “unacceptable” emotion, then we’ll be a target for bullies. To avoid that, we keep everything inside.

The problem is, that when we don’t let them out, our tricky emotions keep coming back. If we learn not to cry when we’re at school, then it can be hard to cry at home, too, making it really difficult to release that pent-up emotion healthily.

This can be worse for those presenting as male, and often gets worse the older we get. We hear messages like “you’re 15, you shouldn’t be crying, you’re not a kid anymore” (even though we’re not an adult, there’s absolutely nothing wrong with crying, and of course, there will be times when emotions run high – we’re teenagers).

It’s important to remember that, though we might not feel comfortable showing emotion at school, there’s nothing wrong with crying, nor with showing emotion.

Teen Mental Health In Tricky Times

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THINGS THAT HELP: PHYSICAL HEALTH

Eating a balanced diet and drinking enough water can make a big difference to how we feel. It’s important to include the odd indulgence – eating nice things can lift our mood!

Being physically active can help us to sleep better, and when we’ve been studying all day, it helps us to feel like we’ve done something and had a change from sitting down. However, it isn’t always easy. Exercising with friends can be good fun – so much so that we forget that it’s good for us!! But we can’t do that if we’re self-isolating.

There are some exercises we can do at home. If we have equipment then we can do things like weights. If we don’t, then there are lots of different exercises we can do with no equipment at all. YouTube has some great workout videos we can follow, so does TikTok.

Sometimes, the hardest bit of being physically active is getting going. Things that can help include setting small, achievable goals, popping on a playlist that pumps us up, and following people on social media who prompt us to start moving. Making sure that our goals are small and achievable is important – any changes in fitness or appearance will take time (and that’s okay!).

THINGS THAT HELP: MENTAL HEALTH

Moments of calm reflection can help to settle our anxieties. If we have them (and we can do it safely), candles and incense can help to get us in the zone. Having time away from other people and the worries of our day-to-day routine can be important, especially if we’re all self-isolating together.

Sometimes people say gaming is a bad thing, but it can be a great way to switch off and escape from the real world for a while. So can reading books – fantasy books can take us to another world away from the stresses of this one.

ROUTINE

Routines are important – but so is balance. For example, we need to do basic self-care every day, but there’s nothing wrong with deciding to shift our evening shower to the next morning and grabbing an early night if we’re tired.

SOCIAL MEDIA

Just like routine, social media can also be helpful or unhelpful depending on how we use it.

It’s can be a way to switch off and mindless scrolling can be relaxing. We can use it to talk to friends, especially those who live in different time zones. It can also be a bit of fun – there’s no shortage of funny videos.

Most apps and sites use algorithms to decide what appears on our feed. The more we look at a topic, the more often it appears on our feed. Sometimes this is great – who’s doesn’t love another video of a funny cat?!

Unfortunately, sometimes it isn’t very helpful, but luckily, there are things we can do about it. We can choose who we follow, and mute or block unhelpful accounts. On some sites, we can even block specific words. If we find that lots of posts are coming up on a topic that we don’t really want to see, then we can often click on the post and tell the site or app that we don’t want to see it. Over time, the algorithm will learn to stop showing things like that to us.

SLEEP

There probably isn’t a teen out there who’s managed to avoid a discussion about how much they sleep. Many of us quite like staying up late and sleeping in. The problem is, we often have to get up early for school.

We might be someone who doesn’t need much sleep. But if, for example, we know that we feel rubbish on less than eight hours’ sleep, and we have to be up at 6:30am for school, then we need to try and aim for a 10:30pm bedtime.

If we’re someone who can lose hours to a good book, or mindlessly scrolling on our phone, then it can be helpful to tune into our body, recognise when we’re tired, and go to sleep.

WHEN MENTAL HEALTH IS SLIPPING

We all have signs that things are slipping. We could become routine-obsessed, or ditch routines altogether to the detriment of our health and self-care. Keeping up with good hygiene can be really difficult. We might skip food, or fall into patterns of emotional eating. Struggling to get up, struggling to go to sleep, frequent spikes of anxiety, and feeling irritable all the time are also signs that things aren’t okay. Sometimes we stop enjoying things that we used to like doing, too.

WHEN MENTAL HEALTH SLIPS: THINGS THAT HELP

Spotting our early warning signs can help us to do something about them.

If we have someone we trust, either a friend or an adult, then we could talk to them about how we feel. Sometimes, we just need to let it out. At other times, we need a bit more support or find it helpful to problem-solve together.

Time to relax is vital. This can be hard when we have lots of schoolwork or are juggling school with a job. But time off from both school and work can make a big difference to our mood.

Having a notebook of “little wins” helps to remind us that we’re doing a lot better than we think. The keyword here is “little”. These don’t have to be ground-breaking discoveries or world-record-breaking achievements. It can include things like “I had a shower” or “I got out of bed”. Our little wins might be different from other peoples’ because we all find different things hard – and that’s okay.

Remember – different things work for different people, and that’s okay. When we feel rubbish, we need to prioritise ourselves and do what’s right for us – not what’s right for our best friend.

WHEN MENTAL HEALTH SLIPS: HELPING A FRIEND

If a friend is struggling, then we might be able to help them with some bits of self-care, like encouraging them to eat or drink enough. We could take them out for their favourite food, or bring their favourite snack in for lunch if we’re at school.

Reminding them that they’re loved and appreciated can mean more than we know. Reminding them of inside jokes or memories that we share with them can help to lift their mood and remind them how loved they are and how much we care about them. For example, if we’ve got a spiderman-related in-joke, we could go on a spiderman-themed day out.

WHEN IT’S HARD TO ASK FOR HELP

We might not think that we deserve help or support, or that the way we feel is our fault. This can create a negative spiral making us feel worse and worse. But we do deserve help and support, and it isn’t our fault.

A THOUGHT TO END WITH

“Sometimes good people make bad choices, it doesn’t mean they’re bad people, it means they’re human”. – Sui Ishida.

Please help us to help others and share this post, you never know who might need it.

Mental Health Tips and Reminders to Start 2024 – My Brain’s Not Broken


Hello friends, and Happy New Year! Since I’ve written several New Year’s posts on this blog, I thought I’d try my hand at it again in 2024. In past years, my messages around the new year have varied greatly. Early on in this blog’s history, I wrote about my rejection of New Year’s resolutions and the pressure they put on us. A few years ago, I reflected on how I’d like to start the new year off right. And last year, I reflected on how I wanted to approach 2023. In reading these posts, I’ve come to see the ways I’ve changed (and yes, grown) in the years of writing this blog. This year, I’d like to take the focus off me and put it back on mental health. There are many ways we can try to grow in the new year, but how can we do it with our mental health? Here are five mental health tips as you build and grow your mental wellness in 2024.

Start where you are.

When it comes to mental health and wellness, it’s important to know where to start. And the fact is, we’re all at different points on our mental health journeys — and that’s okay. Not only is it okay, but it’s as it should be. I can’t tell you how many times I grew frustrated when I would fail at something related to my mental health while seeing someone else succeed. I thought I was doing something wrong when in fact, it just wasn’t the right time for me. Now is the time for an honest assessment: how is your mental health? Are you prioritizing it in the way you deserve? This looks different for everyone, so it’s important to be honest and open with yourself.

Awareness is just the first step.

One of the most important things I’ve learned about mental health is that when we discover something about ourselves we’d like to work on, it doesn’t magically go away. That’s often when the real work begins. Many of us have experienced cognitive distortions, negative thoughts and other mental health challenges for years without fully understanding what they are. Awareness is valuable, but it’s not a cure. Once I accepted this, it was easier to move forward.

There will be bumps in the road.

There’s a common misconception that once someone starts working on their mental health, life will get…easier, let’s say. Or that we’ve “fixed” the problem because we’ve acknowledged that something isn’t as it should be. And while we should give people their flowers for choosing themselves and prioritizing mental health, I wouldn’t want someone to think that’s all they have to do. There will be bumps along the way, the same way there are for so many things we do in life. Mental health is a lifelong journey, and accepting that there will be both ups and downs helps in the long run.

Find techniques that work for YOU.

This point is very important to me because it’s one of my core beliefs surrounding mental health. In the culture we’ve created, things become popular when they work for a wide number of people, which can create unrealistic expectations. I can’t tell you how many times I’ve gotten frustrated with a “life hack” or “mental health tip” that seemed to work for so many people – but not me! It’s taken a long time to come to the understanding that I don’t need to find things that “work”; I need to find what works for me. Once I shifted that lens, I was able to focus more on myself, making my mental health more manageable.

Not everything is relevant to you – and that’s okay

This is similar to what I just wrote, but I’d like to elaborate because it’s an important point to make. Not everything we learn about mental health will be relevant for us. There are so many different tips and tricks, countless diagnoses and ways to evaluate mental health and wellness, and various ways to approach all these challenges. While you do want to focus on your own mental health, seeing the bigger picture is extremely valuable for everyone. Mental health impacts everyone, and the more we connect the dots, the more we can see how it helps shape the world around us.

Now, over to you! What mental health tips would you like to share as we start another new year? Let me know in the comments below!

"Year's end is neither an end nor a beginning but a going on, with all the wisdom that experience can instill in us." - Hal Borland



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Laws & Steps To Get One In 2024


Are you a resident of Idaho interested in getting your own emotional support animal[1] (ESA)? If so, you need to know the laws and regulations governing ESAs to protect you against discriminatory practices, as well as to take advantage of the benefits that come with having an emotional support animal.

In this article, we will talk about the different federal and state laws that apply to ESA ownership, how to get an ESA letter, and some other important points to remember about owning an assistance animal while residing in Idaho.

Emotional Support Animal Idaho: The Laws

  • Emotional support animals are not the same as service animals.
  • ESAs do not need any specific training and can be any type of animal.
  • Idaho law does not specifically offer special protection for emotional support animals.
  • If you want to keep your support animal with you, you will have to keep them in pet-friendly housing and public spaces.
  • ESA letters can no longer be used to bring animals on flights or in other public spaces. 

Emotional Support Animal Laws In Idaho

If you have an emotional support animal in Idaho, you will not have a hard time finding housing, travel, and public accommodations!

1. Laws For Travel

The Air Carrier Access Act is a law that allows a person with a disability to bring assistance dogs on flights and other types of transportation without paying a fee. According to new policies created by the Department of Transportation,[2] service dogs are the only type of assistance animal protected by this law. 

If you want to bring your emotional support animal on a flight, you will have to pay a pet fee and follow the same rules as owners of all other animals. 

Fortunately, emotional support animals traveling on public transportation systems like buses and trains are subject to the same rules as service animals! According to Idaho law, a person with mental or emotional disability and their ESA cannot be denied the use of public transportation.

2. Housing Laws

The Federal Fair Housing Act states that reasonable accommodations[3] must be made for all assistance animals. People who are looking to rent a place to live can file for a reasonable accommodation request for themselves and their ESA. 

The only caveat is that your ESA must possess basic social and obedience skills to be able to live with the other tenants. Unlike service animals, ESAs do not need to go through rigorous training, but they should be able to demonstrate good behavior and not pose any risk of harm or property damage. 

3. Public Spaces

According to the Idaho legislature, emotional support animals are protected in public spaces the same way that service dogs are. As long as your ESA “alleviates one or more symptoms or effects of a person’s mental and emotional disability,” they will be given full and equal access to public spaces and transportation. 

Emotional Support Animal (ESA): An Overview

Any type of animal can provide emotional support and comfort. Photo: Shutterstock

Emotional support animals play an important role in helping people manage their mental and emotional disabilities. They can be any type of animal – a dog, cat, or bird, you name it! If your animal companion brings comfort and companionship that is necessary for your emotional healing, they could easily qualify as an ESA. 

Because emotional support animals provide valuable therapeutic support, they are protected by the law and enjoy numerous benefits. The state of Idaho,[4] for example, offers emotional support animals the ability to access public spaces and public transport. Federal housing legislation has also granted certain rights to ESAs.

Interested in learning more? Read on to keep updated on the latest news about emotional support animals in Idaho!

ESA Vs. Service Animal: Important Things To Remember

The U.S. Department of Justice[5] states that a service animal must be trained to perform tasks that help a human manage their physical or mental impairment. Service animals could be dogs that can interrupt self-harming behaviors, hearing dogs, and seeing eye dogs. 

According to federal law, a trained service animal that helps with a disability-related need must be given full and equal access to public spaces as often as possible. The Americans with Disabilities Act (ADA) ensures that people with service animals cannot be denied housing, jobs, or travel opportunities. 

An emotional support animal, however, is not protected by federal laws like the Air Carrier Access Act or the ADA. While some airlines still make reasonable accommodations for emotional support animals, they are not required by law to do so. 

It is important to note that a psychiatric service animal is not the same as an emotional support animal. Psychiatric service animals are protected by the ADA. These dogs can help a person with a psychiatric disability by warning them when a panic attack is coming or preventing self-harming behaviors. 

3 Steps To Get A Legitimate ESA Letter In Idaho 

A licensed mental health professional can help you get an ESA. Photo: Shutterstock

1. Talk To A Therapist

2. Get Evaluated

From there, you may discuss your treatment options with your doctor or therapist, and the possibility of getting an ESA.

3. Get Your ESA Letter

Many websites also claim to provide people with a valid ESA letter. If you choose to get your letter through an online service, make sure you choose a legitimate and trustworthy company such as Certapet. 

Things You Need To Know Before Getting Your ESA

  • In the state of Idaho, emotional support animals have rights that ensure public accommodations. 
  • The Americans With Disabilities Act states that service animals must be specifically trained to perform disability-related tasks. Emotional support animals are not required to have this training.
  • An ESA will not grant you the legal right to bring your animal on a plane or avoid pet fees. 
  • Idaho law require housing providers or other lodging establishments to accommodate emotional support animals. 

Places In Idaho To Bring Your Emotional Support Animal

If you have an ESA, you may also take them to pet-friendly spaces such as public parks and restaurants. Here is a list of pet-friendly places that welcome animal companions.

Parks

  • Amity Park – Nampa, ID.
  • Snake River Animal Park – Idaho Falls, ID.
  • Baxter’s Dog Park – Twin Falls, ID.
  • Mountain View Park – Moscow, ID.
  • Pennys Memorial Park – Lewiston, ID.
  • Redwood Park – Boise, ID.

Bars and Restaurants

  • Fork – Boise, ID.
  • Miners Gate – Twin Falls, ID.
  • Highlands Hollow Brewhouse – Boise, ID.
  • Salmon River Brewery – McCall, ID.
  •  Frosty Gator – Idaho Falls, ID.
  • The Curb – Meridian, ID.
  • 10 Barrel Brewing – Boise, ID.

Conclusion

In Idaho, emotional support animals are protected by both federal and state laws. ESAs and their owners are entitled to certain housing benefits and access to public spaces and transportation. If you are looking to travel, Idaho may be one of the best states to visit for you and your ESA!

Frequently Asked Questions

What is an ESA?

Is an ESA the same as a service dog?

An ESA is not the same as a service dog. Service animals are specially trained to perform a disability-related task. Examples of service dogs include seeing-eye dogs, hearing dogs, or dogs that can warn their owners of low blood sugar or seizures.

What accommodations are made for therapy dogs?

Only service animals, and emotional support animals to some extent, qualify for special accommodations. Federal and state laws do not offer any specific protections for therapy dogs.

How do I qualify for a psychiatric service dog?



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Types, Symptoms, Causes & Treatments 2024


It is estimated that the rate of anxiety disorders in older adults is as high as 20.8%,[1] a number that closely mirrors the rates seen in all adults. The stressors differ at times, such as concerns about an illness, limited mobility, or recovery from falls. Regardless of the cause, the effects of anxiety can be isolating and potentially debilitating in their own right.

incidence of anxiety.[2] Increasing awareness and improving our comfort level by actively discussing these concerns may go a long way toward improving access to appropriate help. It is crucial to remember that special care should be taken when helping older adults with anxiety,[3] but available treatments can be safe and effective when used with appropriate care.

How Do You Treat Anxiety Disorders In Older Adults? 

Older adults process medications differently and can be more prone to side effects. Multiple medications are also more likely to be used to manage other conditions, raising the risk of drug interactions. Two key points when approaching assistance with anxiety are:

  • Mental health services focused on non-pharmacy interventions should be considered first and can be very effective.
  • Medications should be used at the lowest dose possible for the shortest amount of time. 

Types Of Anxiety In Older Adults

Improving our ability to help manage our own anxiety or to help a loved one or friend begins with the ability to talk about it openly, with compassion, and with an understanding of the kinds of support available. Gaining a better understanding of the kinds of anxiety individuals experience can be very helpful.

1. Excessive Worry Or Stress 

Generalized Anxiety Disorder (GAD)

GAD is the most commonly diagnosed form of anxiety. It is defined as consistent excessive anxiety or worry related to events in everyday life.

Post Traumatic Stress Disorder (PTSD)

PTSD is characterized by recurrent memories or “reliving” a traumatic event. This can lead to sudden outbursts, nightmares, and withdrawal from social situations, friends, and loved ones.

2. Fear

Panic Disorder

Panic attacks are associated with sudden feelings of intense fear and loss of control. There may not be a specific reason for these attacks, and the physical symptoms can be significant.

Specific Phobias

Many people are familiar with phobias as a fear of something specific, like a certain animal, heights, or open spaces. Social anxiety disorder is also described as social phobia. Feeling nervous in social situations can be normal, but avoidance of these situations leading to the disruption of relationships or responsibilities due to these anxious feelings may be worthy of further exploration.

Obsessive Compulsive Disorder (OCD)

Repetitive behaviors centered around the need for symmetry, fear of contamination (Excessive hand washing, for instance), and other preoccupations or compulsions such as hoarding can be potential signs of OCD.

Anxiety Symptoms In Older Adults

Intrusive worry or fear can become overwhelming. Photo: Shutterstock

There can be some subtle differences in the signs and symptoms of anxiety in older adults when compared with younger or middle-aged individuals. These differences are primarily in severity, such as somewhat less severe physical symptoms of panic attacks, or a higher tendency toward avoidance of socializing and isolation.

1. Psychological Symptoms 

  • Difficulty sleeping. 
  • Excessive worry or fear. 
  • Withdrawal, or social isolation.

2. Physical Symptoms

  • Heart palpitations; pounding or racing heart. 
  • Chest pain
  • Shortness of breath. 
  • Shaking. 
  • Sweating. 
  • Unsteadiness on feet. 

Some of these symptoms can overlap with many other potential health conditions, such as restrictive airway disease (Asthma or COPD), cardiovascular disease, or may also be associated with cognitive disorders (Dementia, for instance). A doctor can help you determine or rule out other potential causes of symptoms and suggest a plan for treatment.

Causes Of Anxiety In Older Adults

Anxiety has the potential to be disregarded in older adults. This may be because of a variety of factors, ranging from the potential overlap of symptoms with other disorders to cultural aversions to seeking help. Risk factors with higher prevalence among older adults include:

  • The loss of friends or loved ones.
  • Traumatic experiences.
  • Isolation, whether intentional or unintended (Due to mobility difficulty, for instance).
  • Chronic pain.
  • Managing disease.

Potential causes of anxiety could come from a wide variety of sources, and managing them can become overwhelming. When navigating difficult situations, compassion is key, whether with others or with ourselves. Effective treatment often begins with openly accepting help.

How To Manage Anxiety In Older Adults

There are many different forms of therapy to help manage anxiety. Photo: Shutterstock

1. Non-Pharmacological Approaches 

Prior to considering medications, it is recommended to consider lifestyle changes, mindfulness, and different forms of therapy. These can be very effective and will reduce potential medication burden.

Lifestyle 

Establishing a daily routine or form of structure can help provide a sense of control. Worry and fear lead to a loss of this sense of control. Exercising can be an excellent way to maintain strength, physical health, and mobility and can be an effective stress reliever. Exercise does not need to be strenuous to be helpful. Taking a walk, or stretching your upper body can be enough to improve a sense of well-being.

Mindfulness

Applying mindfulness as an intervention for anxiety refers to focusing on the present. There are several strategies for implementing this, focusing on senses such as taste, and smell, or being aware of and identifying present emotions. Often also approached with deep breathing techniques and forms of meditation, mindfulness allows you to regain control of your thoughts and your responses to external stimuli, regardless of how chaotic they may be.

Therapy

Cognitive Behavioral Therapy (CBT)

Primary care physicians often refer patients to individual sessions with therapists providing CBT. This form of therapy can be quite structured. Education is provided, negative thought patterns or behaviors are identified without judgment, and individualized solutions are proposed and worked on with feedback. 

Therapy options are becoming more accessible, even for those unable to travel to an office visit. Using telehealth visits, you can either establish a relationship with a new therapist using a service like Talkspace or do a remote visit with a therapist at a local clinic if they offer the service.

Social Groups

Specific topics of discussion or activities may be at the heart of individual groups such as book clubs, religious gatherings, or support groups, but the goal is essentially the same: connecting with others and developing a social support network. Supporting others can be as therapeutic and meaningful as the help you receive yourself.

There are a variety of alternative therapies available, including art therapy, music therapy, dance, yoga, and massage. You are very likely to find a form of therapy that can help you develop relaxation techniques.

2. Management Of Anxiety With Medications

The use of medications to relieve anxiety is commonplace, and there are established methods to provide support. Because many older adults managing anxiety disorders may also be managing other conditions and using other medications, it is important to ensure new medications are used safely. Side effects can occur at higher rates, so an important tenet is to use the lowest dose possible for the shortest amount of time to provide the support needed.

There are several commonly used classes of medications used to treat anxiety, and individual medications within those classes can have their own sets of advantages and disadvantages.

Selective Serotonin Reuptake Inhibitors (SSRIs)

Escitalopram (Lexapro), and sertraline (Zoloft)[4] are recommended for first-line treatment. These are considered better options than other medications within the class because they provide the best balance between a lower risk of daytime drowsiness and falls compared with insomnia.

If you are taking a blood thinner, a NSAID, or have a history of bleeding (from a stomach ulcer, for instance), these medications should be used with caution. Regular labs should also be drawn to ensure electrolytes remain in balance. With proper monitoring, many individuals are able to achieve a good balance with SSRIs.

Both SSRIs and SNRIs can take four to six weeks to take effect. It is important to use the medication on a daily basis over time to ensure it remains effective.

Serotonin-Norepinephrine Reuptake Inhibitors (SNRIs)

Venlafaxine (Effexor), Desvenlafaxine (Pristiq), and duloxetine (Cymbalta) are also commonly used for anxiety management. These medications do offer an additional benefit of support for conditions like fibromyalgia and nerve pain. They are associated with higher levels of daytime drowsiness and nausea, however.

Buspirone

Buspirone works on an intermediate time frame, taking about two weeks to reach full effect. The side effect profile is favorable overall, but some individuals do report restlessness or difficulty sleeping.

Mirtazapine

Mirtazapine is effective for anxiety management but has a strong anticholinergic effect. This effect increases dry mouth and constipation. Mirtazapine also acts as an effective appetite stimulant. Drowsiness is very common, and the medication is often taken at night. It can improve sleep, but morning grogginess should be monitored.

Benzodiazepines 

Benzodiazepines like alprazolam, clonazepam, or lorazepam are best used short-term, if at all. These medications are particularly helpful for panic attacks and do work quickly. Benzodiazepines also carry a risk of chemical dependence, memory impairment, drowsiness, and significant fall risk.

Each of these medications carries a potential risk of drug interactions. Your doctor or pharmacist can help you determine whether this would be a cause for concern.

Conclusion

Older adults with anxiety disorders have a variety of options for support. Different forms of therapy are recommended first and can be very effective. Regardless of whether medications are considered, it is very helpful to maintain a solid social support structure. Lower doses of medications should be used when possible to minimize side effects.

Frequently Asked Questions

Can I take hydroxyzine for anxiety?

Yes, hydroxyzine can be effective for anxiety. It is typically used as needed to help with symptoms as they arise. Hydroxyzine can cause drowsiness, dry mouth, constipation, and increased fall risk, however. For these reasons, older adults should use caution when considering medication.



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