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5 Myths about Antidepressant Medications



1. Antidepressants are “addictive”.

False. Antidepressants are not addictive in the way that most people would use the word. You don’t “crave” your antidepressant. However, the medicine that gets introduced to your central nervous system becomes something your body recognizes each day. So stopping medication without the guidance from a professional can cause your body to react to the loss of these neurotransmitters. This experience, called discontinuation syndrome, can be avoided completely when proper dosage-stopping is observed.

2. Antidepressants are “happy pills”.

False. Antidepressants are not "uppers." Unlike drugs like speed or ecstasy which improve the mood of anyone who takes them, antidepressants only improve the mood of people with a mood disorder. So if someone who isn't depressed takes antidepressants, the only change they'll notice will be possible side effects...which, really, are not very happy inducing.

3. Antidepressants are a "quick fix" and don't really cure depression.

False. One thing antidepressants surely aren’t is quick. Most take a minimum of four to six weeks to work. And they are not meant to "fix" your depression, per se. Most people with depression need to address social and environmental issues that contribute to their depression. Treatment for depression is a two-step process: 1) Antidepressants change brain chemistry 2) As mood improves, healthier lifestyle choices and problem solving occurs.

4. Antidepressants will change your personality.

False. Antidepressants normalize the mood ranges of children and adults who have a mood disorder. Who you are doesn’t change, so your personality stays intact. Antidepressant medication lifts my sadness, which then allows me to be who I fully am. I’m not a different person because I take antidepressant medication. I’m me, only better.

5. Once you start taking antidepressants, you're on them for the rest of your life.

False. For the majority of people, this is not true. Many who take antidepressant medication will stop their prescription when recovery from depression occurs. This clinical state of recovery takes about a year or so to achieve. Antidepressants have been shown to re-adjust brain activity, so those who follow their treatment regime to the letter, often don’t need to remain on medication. But there are some, like me, who must remain on medication, indefinitely. I’ve discontinued medication twice only to find depressive symptoms returning. So, I’m a lifer. And that’s fine with me, because I feel great.



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Blogthings: Happy Pattern Quiz



My Happy Pattern




You can't help but think outside the box. As far as you're concerned, you don't even know where the box is.

You have a delightful and colorful inner world. People would be stunned if they could see inside your head.

You get a lot of laughter out of life, and others are surprised by how easy it is to make you happy.

You have no desire to lead or follow. You prefer to not be a part of the crowd.





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9/11: Ten Years Later


• Ten years later, 95% of the 3000 survivors of the World Trade Center continue to experience significant PTSD.

• Ten years later, mental health statistics show that PTSD and depression are not just experienced by those at ground zero or those who lost a loved one, were first responders or engaged in cleanup or recovery. Data shows that millions who witnessed the event continue to suffer psychological consequences.

• Ten years later, parents who had been highly exposed to 9/11-related trauma experience significant panic and anxiety than low-exposed parents.

• Ten years later, the brain biology of children and adults who were in close proximity to the disaster remain in a hypervigilant state.

• Ten years later, studies polling public opinion suggest that the country lacks confidence with news information and with reporting of intelligence obtained.

• Ten years later, uneasiness still lingers for plane crews and travelers alike.

• Ten years later, a team of scientists are still working full time to identify 9/11 victim remains.

• Ten years later, cancer rates continue to skyrocket around the World Trade Center perimeter.

• Ten years later, political discourse persists, leaving many Americans doubting governmental officials and policymakers

• Ten years later, youth growing up in the shadow of 9/11 are more mistrusting of the world around them.


Tips to Offset These Trends

• When dealing with trauma, it’s vital to know about the Anniversary Effect. Sometimes called an Anniversary Reaction, this psychological event sets into motion unsettling feelings, thoughts or memories that occur on the anniversary of a significant experience (i.e. Divorce, Death, Trauma, and Disaster). It’s very common to have strong emotional reactions weeks before an anniversary date, and continue even afterwards. This is an expected reactive state, so know that there’s nothing wrong with you. Understanding the anniversary effect can help you make sense of the emotional turmoil you’re experiencing.

• Historical disasters, traumas or crises receive significant media coverage. Often, media outlets revisit distressing imagery. Limit your watching of TV, reading of newspapers and visiting of Internet news sites around those dates. Secondary trauma, also called Vicarious Trauma, is when you witness an event that causes you distress. As the anniversary of 9/11 approaches, also limit your exposure from others who can’t refrain from talking about the event. Make it a no-drama day.

• You don’t have to feel imprisoned by a distressing experience of the past. Create a shield of resilience. Make sure you take good care of yourself during these times. Self-care, support and comfort will ground you as you move through a difficult trauma. Express your memories and feelings by talking with a family member or friend, writing or using physical activity to de-stress. Other ways to express your inner experiences can include the creative arts. These activities can re-set brain biology and soften hypervigilance.

• If you find that you're struggling with trauma, remember that you're not alone. Loss affects each of us differently, so don't put a time limit on your grief. Don’t compare the trajectory of your recovery to anyone else’s. What 9/11 has shown the mental health community is that there’s no finite time-line for healing.

• Though studies show that parents who were directly exposed to 9/11 are over-reactive, the data shows that their kids generally don’t follow suit. If you can’t reel your panic or worries in about every day matters, know that your child is less impressionable than you think. Kids have a keen ability to know when something is worry-worthy.

• When curious about world events, get information from various sources, including out- of-the-country news programming. This will help you get a more balanced perspective of news worthy information.

• Consider taking the pain of this anniversary date and turning it into a day of service or memorial. Don’t linger on the helplessness or hopelessness this day evoked for yourself, your family or the country. Be determined to mark the day in a positive way.

• When traveling, empower yourself with facts grounded in reality. For example, air travel is statistically the safest mode of transportation. To help yourself feel confident, make sure you follow travel guidelines and conform to safety standards. And remember that not all anxiety is bad. Being attentive, even a bit nervous, can be a good thing. It enables you – and others – to be watchful and self-protective.

• While some may have found a sense of closure with the events of 9/11, there are others who are still in a state of prolonged grief or trauma. Be respectful and compassionate. Don’t shame or blame a person for not being able to “get over” this crisis.

• When it comes to getting aid or governmental funding for your health care as a 9/11 survivor, don’t let bureaucratic obstacles sideline your well-being. Continue going for your treatments while others tend to dealing with the procedural or legislative delays.

• Trauma dislodges the bond we have to others. Though terrorism can unsettle anyone’s foundation of trust, it’s important to help those shaken by 9/11 understand that the evil acts of few are not in the heart of many. This is especially true for children who have grown up alongside the specter of 9/11.


Resources

Block-Elkon, Y. (2011). The Polls—Trends: Public Perceptions and the Threat of International Terrorism after 9/11. Public Opinion Quarterly, 75(1) 366-392.

Brandon, S. E. (2011). Impacts of psychological science on national security agencies post-9/11. American Psychologist, 66, doi:10.1037/a0024818

Eisenberg, N., & Silver, R. C. (2011). Growing up in the shadow of terrorism: Youth in America after 9/11. American Psychologist, 66 doi:10.1037/a0024619

Ganzel, B. et. al (2011). The aftermath of 9/11: Effect of intensity and recency of trauma on outcome. Emotion, 7(2), 227-238.

Lindstrom, K.M et. al. (2011). Attention orientation in parents exposed to the 9/11 terrorist attacks and their children . Psychiatry Research, 187 (1,2) 261-266.

Neria, Y., DiGrande, L., & Adams, B. G. (2011). Posttraumatic stress disorder following the September 11, 2001, terrorist attacks: A review of the literature among highly exposed populations. American Psychologist,66, doi:10.1037/a0024791



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Inkblot Fun: What Do You See?

Hmmm....this inkblot is a toughie. Not very obvious images. What do you see?









Remember: This is not an original Rorschach. That would be unethical to post!





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The Power of "What"



Sometimes the question "why?" is a good one. Like, why can't we live in a more peaceful world? Or why did I eat *all* those cookies? And why don't we call mustaches mouthbrows?


But there are times - especially during a crisis - when "why" may not the best puzzle to solve. When you're in an emotional entanglement, a difficult predicament or a physical hardship, asking "what" will do more.


What has directionality.
Why keeps you stuck in circular thinking.

What offers solutions.
Why offers no game plan.


So, the next time you find yourself in a bad place, ask yourself:


"What can I do to make things better?


not


"Why is this happening to me?


Once the crisis is over THEN you can search for the "Why".








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What's Unique about Your Heart?

You love easily and without fear of rejection. You believe that love is the meaning of life. You wish you could connect with every single person in the world. Relationships are a cornerstone of your life. You think that life has a purpose. You try to live each moment with as much meaning as possible. You deeply care for your friends and family. Anyone close to you feels amazingly loved.



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Grand Rounds 7:46

Grand Rounds is a weekly round up of the best health blog posts on the Internet. Each week a different blogger takes turns hosting - me this time around - and summarizes the submissions of the week.



As a music lover, I thought I'd give Grand Rounds a vintage vinyl feel. So please make sure your phonographs are ready to go. Thanks to Dr. Val Jones and Dr. Nick Genes for the invite.



Song List



Striving: By Glass Hospital A moving post about the life and experiences of an 88 year old doctor who gave much to others.



Beyond Bullet Points: By Dr. Shock This post looks at how multimedia teachings improve medical student retention.



QD: News Everyday - Rise in Antidepressants Called into Question:By ACP Internist This post highlights how perscriptions for antidepressants by non-psychiatric professionals has increased over more than a decade.



How to Prevent Drowning: By Healthline A straightforward read on risk for and prevention of drowning.



If You Can't Say Something Nice" By Table for One This post looks at the difficulties doctors face in presenting bad news to patients and their families.



Song List



Dislocated Shouler - Relationship Realignment: By In Sickness and In Health Injury and illness can press on the dynamics of a relationship. This post looks autonomy and dependence.



OCD Perfectionism and Social Anxiety Treatment: Tweet Your Way To Better Health How the use of social media can lessen anxiety disorders in children and adults.



High Profile People Who Live With Mood Disorders: By Dr. Deb This short video shows just how many high profile people have mood disorders - and helps to take stigma out of mental illness.





Song List



Nine Signs You Should Fire Your Patient: By Insureblog Well written post on when patients might need to get the boot.



Unintended Consequences of Changing the Current 510K System for Moderate Risk Devices: By Health Business Blog Looks at the approval process of medical devices and how they are enough safegaurds in place.



The Ship of State Capsized by a Silver Tsunami of Greedy Geezers: By Health AGEnda A well written argument regarding the recent Wall Street Journal op-ed that reported that medicare patients see their doctors more than non-medicare patients.



Bad Language: Words One Patient Won't Use (And Hopes You Won't Either): By Prepared Patient How certain words can shift the focus away from what patients really need.



US Rumor and Hospital Report: By Not Running a Hospital A gloves-off review of the annual hospital review from US News and World Report.



A One Song Album



Die Taal: By Bongi : This post looks at speaking English at Grand Rounds.




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