how to ask for help with depression
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How to Ask for Help With Depression

I’m fine, how are you?”

This reflexive response to the routine “How are you” question is many times a bold-faced lie. How much easier it seems in the moment to just lie about how we really are rather than deal with our own personal reality. We want to appear normal and happy as we walk through our days, hoping to just blend in and get our obligations checked off the list. Parenting…check. Work…check. Lunch with friend…check. Dinner with family…check. Day in and day out we resolutely put on a false front to detract from the bleak, gray mood that sits right beneath the surface.

Living with depression is incredibly exhausting, and trying to fake our way through the days only adds to the exhaustion. Ignoring the huge elephant in the room eventually takes its toll, however. No one can continuously suppress feelings of hopelessness and despair forever. Eventually, the piper must be paid.

Suicide rates are steadily rising across age groups and demographics. How many of those lives might have been saved had they been more open about their suffering? How many would have gotten help in their darkest hour? Sometimes just asking for someone to sit with you is all the help you might need in the moment, but too often loved ones are unaware of how dire the situation is because the person hesitated to reach out.

Knowing how to ask for help with depression is a learned skill. It requires a leap of faith, as the risk of appearing weak or damaged or crazy is very real. But taking that leap is necessary if we are to ever reclaim our quality of life and our ability to function at an optimal level. Learning how to ask for help with depression is, therefore, absolutely necessary to achieve a restoration of mental wellness and to once again experience joy.

10 Tips How to Ask for Help With Depression

The stigma surrounding mental health issues is one of the most difficult barriers to overcome when in need of help. To remove that barrier takes guts. Here are some helpful tips to help do exactly that, although they usually require vulnerability. Many will learn that exercising these suggestions can open doors and open hearts.

  1. Practice saying the words aloud in front of your mirror, while on a walk, or while driving: I don’t feel well. I am scared. I need to talk to someone. Just uttering these short phrases out loud can prepare you for actually communicating them with a friend or loved one. Practice them until they roll off the tongue.
  2. Don’t buy into the stigma. Resist believing that you are somehow flawed because you are experiencing depression. Understand that mental health is just one aspect of the human system, and is at least as important as our physical health. Acquire a new attitude about the importance of paying attention to mental wellness.
  3. Acknowledge when you are not coping well. The signs may be popping up at work where your productivity has been impacted or your low mood has coworkers worried about you. It could be showing up at home, where your ability to care for the kids or even make a meal is hindered by the depression.
  4. Ask someone for a referral. The idea of scouring pages and pages of mental health providers in your network may be simply overwhelming. Ask a trusted friend for the name of a therapist that they liked, or ask your primary care physician to recommend you to a psychiatrist that they refer their patients to.
  5. Once you find a mental health provider you may be afraid to take that first step. If you resist making the phone call and setting up a consultation, ask a spouse, family member, or trusted friend to sit with you while you make the call. Sometimes you just need some physical support to follow through.
  6. Ask a friend to come over. Even if you are not yet ready to take the next step and get help, having someone in your court is essential. A trusted friend who you feel comfortable sharing with can provide the opening to revealing what is really going on with you. Just invite the friend for a visit and be willing to be real with them.
  7. Get informed. If you suspect you are suffering from clinical depression it can be very helpful to get educated about the diagnostic criteria for this mental health challenge. Go online and read up on the signs of depression and the treatment options. Knowledge is power. Once you recognize yourself in the description of depressive disorder it may be easier to reach out to a doctor.
  8. Know your own limits. We may try to tough out the difficult chapters in life on our own. Many are resistant to asking for help, thinking it is a sign of weakness. But acknowledging the signs of distress—impairment in daily functioning, ignoring hygiene, excessive absences from work, and sleep disturbance—is a call to action. Be aware of your inability to cope and get help.
  9. Join a support group. Maybe you are already being treated for depression and it appears to be escalating. Your mental health provider can refer you to a support group where individuals come together to discuss their challenges with depression and offer mutual support. These participants will recognize your need for a more intensive treatment protocol or even hospitalization if you are suicidal.
  10. Write a letter. Sometimes verbally describing the illness is too daunting. The thought of sitting in front of someone and sharing about the dark aspects of depression can be simply impossible. Try expressing your pain in a letter or email to a trusted friend or family member. Writing can allow for more openness than face-to-face conversation, especially regarding something so sensitive and personal.

Diagnosing Depression

The DSM-5 has listed specific symptoms related to depressive disorder, and stipulates that a cluster of 5 or more symptoms persist most of the time for more than two weeks to receive the diagnosis. These include:

  • Persistent feelings of sadness, hopelessness, or despair
  • Loss of interest in pleasure or activities once enjoyed
  • Mood swings
  • Irrational feelings of guilt or shame
  • Feelings of hopelessness or despair
  • Slowed cognitive and motor functions
  • Sudden weight gain or loss
  • Sleep disturbances, insomnia or hypersomnia
  • Irritability
  • Unable to concentrate or make decisions
  • Suicidal ideation

The psychiatrist may use screening tools to help in diagnosing the depression, such as the Hamilton Depression Rating Scale (HAM-D) or the Patient Health Questionnaire (PHQ-9). A physical exam can help rule out a medical condition or medications as the cause of the depression symptoms. Such health conditions might include diabetes, heart disease, cancer, HIV/AIDS, lupus, and multiple sclerosis (MS).

Different Types of Depression

There are different forms of depression within the depression spectrum, each with unique features, including:

  • Major Depressive Disorder (MDD) (see above symptoms)
  • Dysthymia (Persistent Depression Disorder). This is a type of MDD that persists for more than two years. Someone with dysthymia may experience periods of severe depression alternating with periods of milder depression, but no relief of the depressive symptoms for two years or more.
  • Premenstrual dysphoric disorder. A severe form of PMS that features extreme mood swings, sadness, irritability, and anger.
  • Psychotic Depression. This involves MDD with psychotic features. The individual may experience delusional thoughts or hallucinations in addition to the symptoms of depression. There may be a theme for the illness, such as revolving around a serious illness or poverty, for example.
  • Postpartum Depression. Some women experience serious symptoms of MDD during and/or after giving birth. The symptoms may be so severe that the mother is unable to care for her child, or themselves, and often experience severe fatigue, exhaustion, and anxiety in addition to the profound sadness.
  • Seasonal Affective Disorder (SAD). In certain climates individuals may experience symptoms of MDD that are caused by a lack of sun exposure during the winter months, which can lead to a vitamin D deficiency. The individual may experience weight gain, hypersomnia, and isolation behaviors in addition to the symptoms of depression.
  • Bipolar Disorder. This disorder features alternating dramatic and unpredictable shifts between depressive and manic moods. The low mood episodes can last days or weeks.

 

Comprehensive Depression Treatment

When someone experiences feeling lost and depressed to the point that his or her daily functioning is impaired, it is essential that they learn how to ask for help with depression. Depression is highly treatable and should never be ignored. Attempting to ride out the depression may lead to their symptoms worsening, reducing their quality of life, and even risking suicide.

Depression treatment focuses on modulating brain chemistry through the use of antidepressants, and learning new thought/behavior patterns through the interventions of a psychotherapist. Complementary activities round out the treatment protocol:

  • Medication. There are about 30 antidepressants on the market for treating depression, each varying slightly in how they function in the brain. Often, there is a need to trial a few different drugs before the best fit is determined.
  • Psychotherapy. Psychotherapy modalities are selected based on the specific issues underlying the depression. Psychodynamic therapy is a longer-term approach that delves into childhood issues that might be factors in the depression, and cognitive behavioral therapy (CBT) can help the patient identify irrational thinking that leads to depressive symptoms. There are also exposure therapies for helping those with depression is related to a trauma.
  • Holistic. Incorporating regular exercise, a healthy diet, and stress reduction activities, such as yoga and mindfulness meditation, can enhance the clinical results.

Elevation Behavioral Health Leading Residential Mental Health Center in Los Angeles

Elevation Behavioral Health is a luxury residential mental health program featuring an intimate, home-like environment. Elevation Behavioral treats all forms of mental health disorders, including all types of depression, using a proven integrated approach. If you are struggling with depression, contact our compassionate team at Elevation Behavioral Health today at (888) 561-0868.

 

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is burnout a mental illness
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Is Burnout a Mental Illness?

Anyone who has experienced job burnout knows it is awful, but is burnout a mental illness? According to the newest revisions to the World Health Organization’s (WHO) International Classification of Diseases, or ICD-11, burnout is new recognized officially as a “syndrome.” This has the condition falling into the realm of mental health concerns without officially labeling it as a mental illness. As a syndrome, burnout could result in a mental illness.

This new designation is a welcome one, as it now offers individuals suffering from workplace burnout something they can’t point to in order to explain their symptoms. As workplace pressures continue to escalate, employers need to address the conditions that might contribute to burnout and find workable solutions. This might mean integrating wellness breaks into the workday, such as providing yoga classes or guided meditation. Other solutions might address better time management, prioritizing of projects, and ways to streamline emails and other time zappers.

Employees are at their peak performance when a healthy life-work balance exists. The fast-paced, ever changing workplace cultures of today can make achieving that balance very challenging. But companies that make their employee’s mental health a top priority will benefit with a more productive, positive work environment.

What is Burnout?

It is understood that most every job description involves a certain amount of drudgery or an occasional sense of being overwhelmed by demands. Tasks that revolve around mind-numbing, rote, and often boring functions that sap energy and decrease job satisfaction. When the weight of these mundane tasks begins to prevent someone from completing their core job functions in a given workday, long hours, weekends, and disruption of private time can ensue. Not only are these functions providing no personal growth or financial gain, but they are demanding so much time that pressure just continues to build when attempting to keep up with the workload.

The opposite situation can also lead to workplace burnout. Some bosses pile on so much demanding work that performing to expectations feels impossible. Maybe the skills required to successfully complete projects have not been adequately taught, leaving the employee feeling completely stressed and incompetent.

Burnout is the physical and mental exhaustion that results from keeping up with relentless routines for an extended period of time. Work-related projects then bleed into personal family time, which then prevent the employee from engaging in the activities and hobbies they enjoy in their time off. This is where work-life balance becomes skewed, as the demands of the job exceed the rewards and little time is available for pleasure.

Signs of Burnout

When chronic workplace stress causes frayed nerves, anxiety, and intense fatigue, is it any wonder that one might wonder is burnout a mental illness. In a way, yes, burnout is a mental illness, although not yet defined as a mental health disorder in the DSM-5. As a syndrome, burnout has the ingredients that can evolve into an anxiety disorder or major depressive disorder. The symptoms of burnout include:

  • Depletion of energy, fatigue
  • Irritability
  • Feelings of detachment toward job
  • Somatic symptoms, such as chronic digestive issues, headache, or physical weakness
  • Reduced work performance
  • Negative emotions such as cynicism or hostility towards job, management, fellow coworkers
  • Sleep disturbance
  • Stress on relationships
  • Substance abuse

Feeling overworked and stressed out is a normal part of being a working adult. But when there is no relief and one’s personal health and mental wellness begins to suffer, burnout then becomes a very real possibility. When burnout occurs, the individual may no longer have any energy left to give. They may feel indifferent and detached and basically stop caring.

How Burnout Can Lead to Serious Mental Health Conditions

Back in the day, when someone had reached maximum burnout and completely melted down it was termed a “nervous breakdown.” Is burnout a mental illness? No, but left unchecked burnout can have dangerous consequences, both psychological and physical. This is due to the perpetually elevated levels of the stress hormones cortisol and adrenaline, keeping the person in a constant state of fight or flight and reducing immunity to illness. Over time, it may reach a critical peak that can result in the following conditions:

  • Depression. Someone who is burned out can become listless, sad, hopeless, and detached. Other depression symptoms include changes in sleeping and eating habits, fatigue, irritability, difficulty making decisions, and suicidal thinking.
  • Anxiety. Generalized anxiety disorder features feelings of being out of control while experiencing excess fear, worry, or dread. Anxiety also features insomnia, palpitations, sweating, shallow breathing, restlessness, and racing thoughts.
  • Sleep disorders. Hypersomnia, or excessive sleeping and insomnia, or an inability to fall asleep or stay asleep, can have significant adverse mental health effects, as well as negatively impact physical health and wellbeing.
  • Coronary heart disease. A large study out of Israel followed 8,800 employees for over 3 years. They found that among those who scored in the top 20% of the, 79% had an increased risk of coronary heart disease.

What Causes Burnout?

Anyone can go through difficult stretches in their career when expectations and demands were so high that the workload and stress burden seems unsurmountable. However, some people have particular personality traits that may make them more susceptible to workplace burnout. They are, in a way, prewired for burnout. These traits include:

  • Perfectionism. Some individuals set such a high standard for excellence that they can place an inordinate amount of undue stress upon themselves. The added stress of constantly striving for perfection throughout the workday can result in burnout.
  • Unwilling to delegate. A desire to control the outcome of every task and assignment can result in an unwillingness to let go and trust the team’s abilities to help manage various aspects of the projects. This means the individual is perpetually engaged in every step of an assignment which can lead to burnout.
  • Being a martyr. Some employees may sacrifice their health or mental wellness for the sake of being a high performer who delivers results. This means that their lives revolve around the adulation and positive strokes of work, and that they will throw themselves on the sword to make sure everything is successfully completed on time. These individuals also ignore self-care and work-life balance
  • Poor time management skills. Undeveloped organizational skills can lead to wasted time in completing tasks. Not prioritizing can allow mundane activities to swallow up vast amounts of time leaving insufficient time for getting the higher-level tasks completed on time.

How to Prevent Burnout and Manage Stress

Being cognizant of the dangers of slipping into burnout means having a healthy respect for maintaining balance in life. This means being proactive about how your time is spent and protecting wellness by establishing healthy boundaries. Many well-meaning supervisors are simply not aware of the pressures they are placing on staff members or that the tools for them to succeed have not been provided. Employees need to understand that it it falls on them to communicate openly with supervisors regarding the nees for support or tools that will allow them to succeed.

Burnout prevention can involve the following actions:

  • A change of perspective. Instead of seeing work demands as impossible to complete, view them as challenges to embrace and conquer. Ask yourself how you can shift a negative attitude toward one of positive productivity.
  • Prioritize self-care. In the whirlwind of life, no one will carve out opportunities for self-care for a person. It falls directly on each individual to incorporate wellness activities and balance into the workweek.
  • Have outlets for stress. It is essential to have a network of support in one’s life, whether that is a spouse, a best friend, a support group, or a therapist. These individuals can provide a safe place to vent and share frustrations, while acquiring helpful tips for better managing stress.
  • Identify time-wasters. Sometimes we are our own worst enemies when it comes to feeling overwhelmed. Over use of social media during the workday, spending too much time socializing at work, or refusing to delegate routine tasks all sap time that could better be used towards productive endeavors.

Treatment for Burnout

When stress levels remain perpetually high and daily functioning becomes impaired, it is important to seek out the professional help needed to reclaim wellness and balance in life. Depending on the degree of burnout or whether there is a mental health disorder involved, the individual has the option of receiving treatment in an outpatient setting or a residential setting. Generally, the longer the mental health disorder has endured, and the more it has impaired functioning, a residential program offers the best venue for treatment. An outpatient approach is fine when the problem is less entrenched.

Treatment for burnout can involve the following elements:

  • Psychotherapy. Cognitive behavioral therapy (CBT) provides a short-term evidence-based approach that helps the individual examine dysfunctional thought and behavior patterns that lead to burnout.
  • Medication. In some cases, antidepressants or sedatives may be warranted for helping to managing the symptoms of burnout or accompanying depression or anxiety.
  • Addiction treatment. When excessive stress and burnout has resulted in a substance use disorder the individual will benefit from progressing through a dual diagnosis addiction recovery program.
  • Holistic therapy. Learning how to regulate stress is integral to treatment for burnout. These activities include deep breathing, yoga, meditation, massage, and other relaxation inducing activities.

Elevation Behavioral Health Treats Burnout and Related Mental Health Disorders

Elevation Behavioral Health is a Los Angeles-based residential wellness center that offers a diverse array of customized therapies for individuals suffering from burnout. The intimate, private residential program offers luxury accommodations and amenities in a highly desirable setting. The expert psychiatric staff provides the best blend of evidence-based therapies and holistic therapies to guide the individual back to a balanced state of wellness. For questions, such as is burnout a mental illness or more information about the program, please contact our team at (888) 643-7135.

 

 

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how to stop self destructive behavior
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How to Stop Self Destructive Behavior

Men and women who carry out self destructive behavior demonstrate the habit over and over again without repose. These behaviors include every aspect of life, from work to family to romantic relationships; the list literally goes on forever. These behaviors have negative impacts on their lives, which serves them with rejection, disappointment, and failure to find happiness. Subsequently, the ramifications of these self destructive behaviors form a downward spiral to various levels of suffering. The unintended consequences of such behavior have negative impacts not just for the victim themselves, but also for those around them. Each behavior can be stacked on another and lead to a complex layering of social dysfunction.

Often, the individuals suffering from these routines or involuntary behaviors are aware of the situation, but are either unwilling or unable to rectify the urge to self-sabotage. Sometimes the behaviors themselves have a positive feeling, but that feeling eventually degrades over time. This may lead to the individual seeking more damaging behaviors to fill the void of the initial issue that started it all. How to stop self destructive behavior becomes important when it reaches a level that threatens safety, well-being, or life in general. That is why it is important to understand the generation of such self-defeating rituals and what they are.

Signs of Self Destructive Behavior

How to stop self destructive behavior? First, you must identify those behaviors, so you can deal with them accordingly. These include:

  • Self Mutilation or Injury (NSSI)
  • Substance Misuse or Abuse
  • Alcoholism
  • Vaping or Smoking
  • Eating Disorder (IE: Bulimia, Anorexia)
  • Hermit Syndrome
  • Abusive Relationship Seeking
  • Cell Phone/Tablet Addiction
  • Gambling
  • Unsafe Sexual Practices
  • Sleep Escapism
  • Suicide Attempts
  • Violence Towards Others

Many of these behaviors tend to appear together or replace each other when going untreated. Addictions form and patterns emerge that cause pain and suffering for those afflicted. Many times, these signs are hidden in plain sight under social conventions that are considered acceptable in society. For instance, social drinking or smoking can seem harmless from the casual observer, but might be a gateway into more harmful behaviors.

The Environment Becomes Us

Human beings are complex animals with intricate social, cultural, and religious traditions, which are triggered, shaped, and exploited by mechanisms of an economic system. The environmental pressures and stresses truly impact the development of human beings throughout their lives. Often, the human psyche is too weak to thwart the advancement of pressures in advertising and social networks. These networks include childhood groups, cliques, and teams, as well as family and work relationships. Everyone is pulling and picking at everyone else in some form or another, which is why peer pressure can trigger certain behaviors early in development.

How to stop self destructive behavior that originates in childhood is one of the first aspects that must be addressed. Many studies suggest that adults that suffer from self destructive behavior and habits have histories of childhood trauma in their early developmental years and throughout adolescence. These moments of disruption, chaos, or even abuse build the foundation of poor choices and bad habits. Verbal, physical, and sexual abuse contribute to the likelihood of severe outcomes for those involved, which may include life threatening, self-harming types of behaviors. Issues will also arise due to neglect or psychological abuse by parents or guardians, which may be another source of these negative behaviors. This is why it is important for family, teachers, and neighbors to intervene when these problems become apparent. Society, as a whole, must take responsibility for everyone in the community rather than just themselves if we are truly to tackle these social ills.

Changing the environment is usually helpful when dealing with issues that may be triggered or enhanced by a place where these behaviors originated. This sometimes means taking drastic measures and removing the individual from the environment that created the original trauma. It is necessary to retreat from negative spaces that contain triggers and enabling factors, so one can separate from the places the toxic behavior manifests. Safe spaces or even places of solitude should be considered when dealing with behavior issues.

Meditation and Mindfulness as Treatment

If you struggle with self destructive behaviors, the practice of mindfulness meditation has the potential to release the sufferer from the attachment to the behavior. The process of detaching oneself and perceiving your actions with a nonjudgmental attitude creates a shift in perspective. This perspective can lead a person to discover themselves as the object of awareness, rather than a victim of an experience. Taking this step back, this practice can remove the ego and replace it with a sense of observation that can be used to dismantle the negative behaviors that have taken over the individual. This newly acquired and practiced discipline, if harnessed, can have life changing results.

There are other aspects of mindfulness involving diet and exercise that can help pull the afflicted from the behaviors by replacing the old routines with new, healthier ways. Yoga and exercise in general can stimulate healthy endorphin production that can ease the transition away from the unhealthy emotional chemical dependencies. Adding swimming to someone’s routine can also promote a state of equilibrium and renewal. Bringing fresh and nutritious fruits and vegetables to one’s diet can also help reinforce the transition with necessary vitamins and fiber for a healthy gut biome. The gut biome is very important in the production of amino acids and other building blocks of a healthy immune system that promotes general well-being.

Elevation Behavioral Health Provides Self Destructive Behavior Programs

Elevation Behavioral Health is a Los Angeles-based residential recovery program that offers behavior corrective services and comprehensive trauma and self harm treatments for individuals with destructive behaviors ranging from substance abuse to suicidal tendencies. Our luxury accommodations in beautiful and serene settings help provide a comfortable and healing environment while patients engage in comprehensive treatment programs geared towards their recovery.  For more information about the program, please contact Elevation Behavioral Health today at (888) 643-7135.

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constant panic attacks
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When Constant Panic Attacks Impair Daily Life

Panic disorder can be a very debilitating condition, to the point where staying in the safety and comfort of one’s home seems like the best solution. But isolating oneself in order to avoid the potential panic attacks only leads to more impairment, negatively impacting career and relationships, as well as possibly leading to depression in addition to the anxiety disorder.

A panic attack can be a highly distressing experience. In fact, those who experience panic attacks describe them as feeling like they are having a heart attack. Because of the severity of the symptoms, many will seek emergency medical care.

It is understandable why, when experiencing constant panic attacks, it seems like the best thing to do is just stay away from anything that might inadvertently trigger a new one. But the difficulty with that strategy is the nature of panic disorder itself. Typically, the attacks are not predictable and may not follow any usual trajectory. This means that a trigger could be just about any thing, any person, or any situation.

With this in mind, should an individual be attempting to avoid the constant panic attacks that render them hostage to the disorder, getting professional treatment is the appropriate path to take. Mental health providers can offer solutions in either an outpatient or residential setting, with the decision as to which is best resting on the severity of the panic disorder.

About Panic Disorder

Panic disorder is one of the mental health disorders within the anxiety disorder spectrum, and affects 2.7% of the adult population in a given year, and 4.7% over the course of a lifetime.  Panic disorder features unpredictable and intense physical symptoms and is more prevalent in women, with double the number of women experiencing this debilitating disorder than men.

Untreated panic disorder can be highly disruptive to daily functioning, with the constant fear or dread of the next potential panic attack. This is because it is very hard to predict when a panic attack might be forthcoming, which causes those who suffer from panic disorder to remain in a place where they feel safe and in control. About 50% of those with panic disorder have symptoms of agoraphobia. This can have devastating impact on the individual’s quality of life, placing significant limitations on normal functioning.

Signs and symptoms of panic disorder may stem from past traumatic events, a family history of anxiety disorders, a major life event, such as divorce or sudden loss of a loved one, and major life stressors. However, in many cases there is no known cause or trigger for the onset of the attacks. Symptoms of a panic attack might include:

  • Chest tightening, chest pains
  • Racing heart
  • Heart palpitations
  • Dizziness
  • Hot flashes
  • Feeling out of control
  • Nausea
  • Abdominal cramping
  • Diarrhea
  • Feeling very weak or faint
  • Shortness of breath
  • A strong feeling of terror or doom
  • Tingling or numbness in the hands and fingers
  • Headache
  • Chills
  • Feelings of detachment
  • Fear of death

To meet the DSM-5 diagnostic criteria for panic disorder the individual would experience the persistent worry about impending panic attacks for at least one month, would experience significant impairment in functioning, and cannot be related to a substance use disorder or a medical condition.

What Causes Panic Disorder?

At present, the exact cause of panic disorder is still unknown. According to the Mental Health America website, research has identified a connection between panic attacks and a “suffocation alarm mechanism” in the brain, which causes the individual to feel their life is in peril. There are, however, some identified factors that could contribute to the disorder. These include:

  • Biology. Panic disorder may run in families, primarily when there are family members who have been diagnosed with an anxiety disorder
  • Environmental factors. This can include stressful life events, loss of a loved one, exposure to trauma, history of abuse
  • Personality traits. Some people possess certain personality traits that may contribute to an exaggerated reaction to a stimuli.
  • Stress regulation malfunction. This is a chemical issue in which the individual’s production of cortisol and adrenaline are easily triggered and difficult to manage once triggered.

Treatment for Panic Disorder

Treatment for panic disorder will range from outpatient care through a private mental health provider to inpatient or residential care in a mental health treatment center. The level of care is dependent on various factors, such as the severity of the symptoms, the degree of daily impairment in functioning, the length of time with the disorder, and whether there are co-occurring mental health disorders present.

Outpatient. Outpatient treatment is available in several formats, including a private psychiatric practitioner, an outpatient treatment center, or a partial hospitalization program, often referred to as a day program.

Residential. A residential program will involve an extended stay at a mental health treatment center. These may be a private care facility that is in a home setting with a small number of patients, or a larger mental health treatment facility. The residential setting allows for a more intensive, customized treatment protocol based on the specific features of an individual’s panic disorder diagnosis. Also, in a residential setting there is more flexibility in trialing different combinations of treatment elements and therapies.

Treatment elements for panic disorder include:

  • Psychotherapy. Using evidence-based psychotherapies such as cognitive behavioral therapy (using the panic control treatment protocol), virtual-reality CBT, prolonged exposure therapy, and panic-focused psychodynamic psychotherapy (PFPP)
  • Eye movement desensitization reprocessing (EMDR)
  • Group therapy, including skills-training group and support groups
  • Medication, including tricyclic antidepressants, MOAIs, SNRIs, and benzodiazepines
  • Relaxation techniques using holistic therapies

Holistic Methods for Managing Anxiety

When someone is besieged with constant panic attacks—some up to several attacks per day—it is wise to access holistic therapies to help manage the anxiety. These practices can significantly reduce chronic anxiety symptoms that may underlie the panic disorder. Incorporating at least a few of these into a weekly routine will go a long way toward regulating anxiety in general:

Yoga. Yoga uses movement and breathing focus to bring about deep relaxation, as it helps release muscle tension.

Mindfulness. Mindfulness helps us to reduce stress by focusing our thoughts to the present moment instead of becoming distracted by worries or past events.

Massage therapy. Massage can help release toxins from the body, resulting in muscle relaxation and a calm mind.

Aromatherapy. Several essential oils used in aromatherapy induce relaxations, such as lavender oil, bergamot, rose, ylang ylang, and German chamomile.

Exercise. Regular physical movement, especially cardio activities, can help promote a happier state of being while also reducing stress and aiding in better sleep quality.

Nutrition. In addition to maintaining a healthy diet, there are certain foods that help anxiety in particular, including Brazil nuts, eggs, fatty fish, pumpkin seeds, dark chocolate, yogurt, green tea, and chamomile tea.

How to Manage a Panic Attack

When a panic attack strikes it is very helpful to have some proven coping skills at the ready. It is wise to get familiar with these strategies by practicing them in advance. Tips for managing a panic attack include:

  • It will pass. Remind yourself that it is temporary, not life threatening, and try to stabilize your self at the very outset of the event. A grounding technique involves observing your surroundings and finding five items you can see, four things you can touch, three things you can hear, two things you can smell and one item you can taste. This pattern helps to distract from the feelings of fear being experienced.
  • Deep Breathing. Concentrate on slow, deep breathing. Deep breathing technique should be practiced on a regular basis so it becomes second nature when needed during an attack. Deep breathing involves breathing in through the nose slowly for 4 or 5 seconds, filling both the lower lungs and upper lungs, allowing the chest to expand. Hold the breath for 4 seconds, and then slowly exhale through the mouth for 5 seconds, pushing the air out entirely. Repeat this pattern several times until you feel your body begin to relax.
  • Go with it. Try not to fight the panic attack, but instead accept you are having one and reassure yourself it will soon pass. Use positive self-talk, such as telling yourself, “I have survived these before,” or “This too shall pass,” or “I am going to be fine, everything will be okay.” These affirming thoughts can override the sense of fear while helping you feel you are in control.
  • Get help if needed. Don’t be afraid to ask for help, even if it is just to have someone accompany you so you can get outside in the fresh air. Sometimes, just taking a short walk, alone or with a friend, can help you get through the panic attack. If you fear the panic attack is out of control, ask someone to get you to the hospital for an evaluation.

Elevation Behavioral Health Provides Residential and Outpatient Treatment for Panic Disorder

Elevation Behavioral Health is a private mental health provider located in a luxury home setting in Los Angeles, California. The intimate setting nestled in a beautiful hillside location offers the healing environment so helpful to individuals suffering from constant panic attacks. At Elevation, a compassionate and knowledgeable staff will nurture the individual while teaching new techniques and coping skills that will help them manage panic disorder going forward.

The program is integrative, meaning that treatment involves a blend of evidence-based psychotherapies, adjunctive therapies, medication, and holistic therapies. The goal is to help each individual reclaim a sense of control over their world and to enjoy a better quality of life. For more information about the program, please reach out to our team at (888) 561-0868.

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losing touch with reality
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What to Do When it Feels Like You’re Losing Touch with Reality

The signs may be quite subtle at first. A friend or loved one may seem “off” recently, with an unkempt appearance that is not their norm at all. A coworker may have let their quality of work slip, becoming incrementally substandard over time. Maybe you are plagued with an unsettling sense that someone is watching you, or have become increasingly suspicious of others.

These early signs of a potential psychotic break from reality may not seem worrisome when seen in isolation, but when a cluster of unusual symptoms begin to gather steam it may indicate that you or someone you care about is experiencing the sense of losing touch with reality.

Psychosis—including such features as hallucinations and delusional thinking—is the symptom of an underlying mental health disorder, not an illness itself. According to the National Alliance on Mental Health, an estimated 100,000 Americans experience psychoses annually. Early intervention is key, so do not ignore the symptoms. These will center on difficulty recognizing what is real and tangible versus a figment of their imagination. Behaviors and thoughts will be unusual, not the norm for the afflicted person.

When you notice that you or a loved one seems to be losing touch with reality it is important to seek professional help. It may be that the symptoms are related to a physical or neurological condition that needs attention. If it is indeed the early signs of a psychotic disorder, receiving timely, proactive care is essential in containing the effects of the psychosis.

What are Psychotic Disorders?

Psychotic disorders represent the types of mental illnesses that feature symptoms around losing touch with reality. These disorders are characterized by odd behaviors, feelings, thoughts, and emotions, including seeing or hearing things that are not really there. When a mental health condition has psychosis as a primary symptom, it will be classified as a psychotic disorder.

According to an article published in JAMA Psychiatry, about 3.5% of the U.S. adult population will experience psychosis at some point. Psychotic features can be associated with severe anxiety, severe depression, and bipolar disorder, as well as identified as its own standalone mental health disorder.

The cause of psychotic disorders is still mainly unknown, although there are some theories exists to explain the cause. These include neurological malfunctioning, certain viruses, extreme trauma or prolonged excessive stress, certain drugs of abuse, and genetics.

Treatment for this complex mental health disorder will rely on a comprehensive approach of multiple elements for the best recovery results. Generally, an individual with a psychotic disorder can learn to manage many of the symptoms associated with the disorder.

Different Types of Psychotic Disorders

Psychotic disorders emerge in varying ways and with differing features, while sharing core characteristics. The different types of psychotic disorders include:

  • Schizophrenia, embodies the sense of losing touch with reality, with audible and/or visual hallucinations, delusional thoughts, angry, erratic behavior, and extreme moodiness.
  • Schizoaffective disorder, combines features of schizophrenia with a mood disorder involving depressive or manic episodes.
  • Brief psychotic disorder is a short-lived disorder that is sometimes triggered by a traumatic event, such as the death of a loved one, a natural disaster, or a serious accident that lasts less than a month.
  • Schizophreniform disorder is like schizophrenia but tends to affect young adults and teens, and lasts 1-6 months in duration.
  • Shared psychotic disorder is one that involves two people who both believe in a delusional situation, such as a husband and wife who both believe the same delusion.
  • Delusional disorder features false and often suspicious beliefs that the individual believes are true, such as thinking someone is out to murder you or your spouse is having an affair.
  • Substance induced psychotic disorder is the presence of hallucinations or delusions occurring as a withdrawal symptom for several drugs, including alcohol, LSD, methamphetamine, cocaine, benzodiazepines, and PCP.

What Are the Symptoms of Psychosis?

Generally, psychosis comes on gradually, with signs that indicate a developing mental illness. Those might include inappropriate emotions, a decline in personal hygiene, difficulty thinking straight or concentrating, a decline in job or academic performance, emotional detachment or intense inappropriate emotions, isolating behaviors, and acting highly suspicious of others. These are psychotic features, early symptoms of a possibly emerging psychotic disorder.

The primary feature of psychosis is losing contact with reality. While the different types of psychotic disorders will have unique features, there are some general symptoms that can indicate the onset of a psychotic disorder. These include:

  • Insomnia
  • Persistent feelings of being watched.
  • Increasingly disorganized thinking
  • Mental confusion
  • Auditory and visual hallucinations
  • Delusional thoughts
  • Strange or disorganized speech or writing
  • Inappropriate behavior
  • Avoidance of social situations
  • Decline in academic or work performance
  • Unusual body positioning or movement
  • Suspicious or paranoid behavior
  • Unusual preoccupation and fears centered on a person or situation
  • Irrational or angry behaviors
  • Inability to concentrate
  • Loss of interest in appearance and hygiene
  • Personality changes

Treatment for Psychotic Disorders

Generally, a residential setting provides a more intensive and tailored treatment approach in a setting that is safe and offers 24-hour monitoring and support. However, if the individual is displaying signs of a psychiatric break or has become a danger to themselves or others, they should be admitted to a psychiatric hospital for stabilization.

Treatment of psychotic disorders relies primarily on psychotherapy and psychotropic drug therapy will likely involve an integrated approach, including:

Psychotherapy: While in a residential treatment the individual will be involved in various types of psychotherapy. The focus for therapy involves helping the individual recognize irrational thoughts and behaviors and to replace those with healthy thought-behavior patterns. Individual therapy, group therapy, and family therapy are all provided in a residential program as part of the psychotherapy piece of treatment for psychosis.

The individual cognitive behavioral therapy sessions allow the therapist to help the individual identify irrational thoughts and fears and maladaptive emotional responses.

Group therapy: Group sessions provide opportunities for small groups to discuss and share their mental health issues while being facilitate by a therapist who guides the topics. These intimate group settings provide a safe environment for sharing and foster peer support in the process.

Psychosocial interventions: An important component of treatment is assisting the individual in improving their ability to get along with others. These interventions can offer new communication skills, conflict resolution techniques, and vocational rehabilitation.

Medication: Medication will be prescribed depending on the specific diagnosis. In many cases medication will include antipsychotics, benzodiazepines, antidepressants, and mood stabilizers. For some individuals with a psychotic disorder, these medications will necessary to help manage the disorder on a daily basis, and will likely be prescribed for a lifetime.

Adjunctive therapies: Electroconvulsive therapy (ECT) is reserved for the most severe forms of psychosis in individuals who are not responsive to the medications.

Holistic therapies: Increasingly, holistic therapies, most of which are derivative of Eastern practices, are utilized for the treatment of psychosis or other mental health disorders with psychotic features. Activities such as yoga, mindfulness training, guided meditation, acupuncture, and massage therapy are helpful in controlling stress and promoting relaxation. Patients can learn how to initiate mindfulness exercises on their own at any time of day, which is helpful when sudden symptoms emerge.

When Does a Psychotic Break Require Hospitalization?

When someone experiences a psychotic break, or the sense that they are no longer tracking with reality, it may be appropriate to consider hospitalization. This might be a psychiatric hospital or a psychiatric wing within a general hospital. This level of care is distinct from residential care, in that the hospital environment is equipped to manage a psychiatric emergency. In the hospital setting the individual will likely be segregated from other patients and may be restrained to avoid the risk of self harm or harm to others.

In the hospital settling, the individual will receive very close observation. Medications will be reviewed and adjusted, and the emphasis will be on acute stabilization measures. This process of stabilizing the individual may take a couple of days, before they can be released to a residential mental health treatment center.

When Severe Depression Causes Psychosis

In some severe cases of depression, the emotional anguish may cause an individual to exhibit a break from reality with symptoms of hallucinations or delusions. The actual diagnosis may be coined depression with psychotic features or psychotic depression. In the case of depression that is so profound that it sparks feelings of losing touch with reality, there may be a co-occurring medical condition or substance use disorder that is contributing to the symptoms.

Psychotic depression features the following symptoms:

  • Sleep disturbances
  • Experiencing hallucinations, voices or visions, telling them they are worthless or evil
  • Delusional thoughts
  • Suicidal ideation
  • Difficulty concentrating
  • Falsely thinking they have another disease or illness

When Severe Anxiety Causes Psychosis

Can severe anxiety cause psychosis? Research suggests that symptoms of psychosis may be preceded by an extreme even, such as a panic attack or trauma. The intense emotional distress suffered as a result of anxiety can trigger psychotic symptoms. According to a study published in the Journal of Clinical Psychiatry, anxiety disorders, such as panic disorder, OCD, or PTSD can result in psychotic symptomology. These symptoms resolved with treatment involving both benzodiazepines and antidepressants.

When this condition occurs it may be referred to as a psychotic break or a nervous breakdown. The symptoms are clearly related to the anxiety disorder, rather than a psychotic disorder such as schizophrenia. Stabilizing the individual should be the first step in care, followed by enhanced treatment for the core anxiety disorder.

Elevation Behavioral Health Leading Residential Mental Health Center in Los Angeles

Elevation Behavioral Health is a luxury residential mental health program featuring an intimate, home-like environment. Elevation Behavioral treats all forms of mental health disorders, including psychotic disorders, using a proven integrated approach. If you are feeling you’re losing touch with reality, contact our compassionate team at Elevation Behavioral today at (888) 561-0868.

 

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signs of mania bipolar
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Signs Of Mania Bipolar

Hypomania and mania represent the manic episodes that come with bipolar disorder. While the signs of mania bipolar may at first seem to be a pleasant diversion from the dark depressive episodes that represent the opposite side of the disorder, the manic phase can also be destabilizing and self-destructive. The feelings of invincibility can lead to delusions of grandeur that result in behaviors that are regretted once the manic episode subsides.

People with undiagnosed bipolar disorder will find its symptoms disruptive to all areas of their life. The extreme mood swings will not only impact one’s career, relationships, and psychological wellbeing, but can also affect anyone closely associated with the individual. The signs of mania bipolar can result in family financial problems, incomplete work projects that affect coworkers, and dangerous behavior that can result in injury to others.

Diagnosis of the disorder will begin the process of treating these disruptive symptoms and thereby improve daily functioning. Managing the bipolar disorder will involve ongoing therapy and medication. By adhering to the treatment plan, and continuing to work on psychosocial skills, individuals with bipolar disorder are able to live a productive, fulfilling life.

About Bipolar Disorder

Bipolar disorder, formerly referred to as manic-depressive disorder, is a mood disorder that involves intense mood shifts, alternating between manic and depressive episodes. The depressive episodes feature feelings of sadness, fatigue, loss of interest, slowed movements, changes in eating and sleeping habits, and suicidal ideation. The manic episodes feature extremely elevated mood, lack of sleep, loss of appetite, impulsive or risky behaviors, and excessive talking.

There are varying degrees of intensity of these episodes, so for that reason bipolar disorder has four classifications:

Bipolar I: The individual experiences both manic and depressive episodes that vary in length, but at least one manic episode that includes psychotic features must last seven days or longer for diagnosis. The manic episode may have been shorter but was severe enough to require hospitalization. Mania is more prevalent in bipolar I.

Bipolar II: The individual experiences hypomania instead of mania. Hypomania is a less severe form of mania. Diagnosis will depend on the individual having experienced at least one hypomanic episode and one depressive episode. Depressive episodes are more prevalent in bipolar II.

Cyclothymic disorder: The individual experiences a milder form of bipolar disorder, with episodes of less severe mania and depression that resembles moodiness instead of bipolar disorder, and lasts more than two years. Untreated cyclothymic disorder can develop into bipolar disorder.

Unspecified: This classification involves abnormal mood disorder symptoms that do not fit a specific pattern.

What are the Signs of Mania Bipolar?

The manic episodes involved in bipolar disorder are characterized by an intensely elevated mood state. A manic episode may last a few hours or several days, and may involve psychotic symptoms. The signs of mania bipolar include:

  • Abundant energy
  • Intense euphoria
  • Racing thoughts
  • Excessive talking, rapid speech
  • Reduced need for sleep
  • Difficulty concentrating or staying on task
  • Highly distracted by multiple stimuli
  • Impulsivity
  • Feelings of grandiosity
  • Restlessness
  • Disjointed thoughts
  • Intensified senses, light, sounds, colors
  • Engage in risky behaviors
  • Hallucinations
  • Delusions
  • Paranoia

People experiencing mania may require hospitalization if symptoms include psychosis, or when episodes last several days.

How to Manage the Signs of Mania Bipolar?

When a manic episode ensues the individual may find their symptoms getting out of control. Abnormal energy levels may prevent someone from completing assignments at school or work. Exaggerated self-esteem may come off as a sense of superiority, and seen as off-putting to coworkers and friends. Minimal sleep over several days can impact health and wellness. Impulsive behavior can result in high risk situations that lead to injury or damages.

When the symptoms of a manic episode emerge there may be a very short window to proactively manage the oncoming slate of symptoms. Seeking out the help of a support system and reaching out to one’s doctor or therapist can help prevent an episode from becoming full-fledged. Better yet is taking the steps prior to seeing the signs of an upcoming manic episode. These proactive steps might include:

  • Maintain a regular sleep schedule
  • Avoid alcohol and drugs
  • Learn how to manage stress using relaxation techniques
  • Adhere to medication
  • Continue with outpatient therapy

How Is Bipolar Disorder Treated?

Treatment for bipolar disorder will involve a combination of medication and psychotherapy. In more severe cases, electroconvulsive shock therapy (ECT) may be utilized. Holistic activities, such as taking yoga, getting regular exercise, mindfulness training, and maintaining a healthy diet can also be beneficial for individuals with bipolar disorder.

Medications: Depending on the class of bipolar disorder the medications may include antidepressants, antipsychotics, and mood stabilizers

Psychotherapy: Cognitive behavioral therapy (CBT) is the most used form of psychotherapy for treating bipolar disorder. CBT therapists will guide the individual to identify thought distortions or triggers that lead to the disruptive behaviors, and the change the destructive thought patterns. In addition to CBT, interpersonal and social rhythm therapy and family-focused therapy are helpful as well.

When the symptoms of bipolar disorder are not improving through outpatient mental healthcare, it may indicate that more intensive approach is warranted. A residential program offers more focused and integrative interventions in an environment that is free of the usual triggers or stressors that can result in the mood swings. This allows the clinical team to give the individual more targeted and individualized attention that can benefit them significantly after they complete the program.

Elevation Behavioral Health Provides Luxury Residential Mental Health Services

Elevation Behavioral Health is a Los Angeles-based residential mental health center that offers a wide array of services for individuals in need of a more intensive treatment approach. With a blending of evidence-based and holistic treatment methods, a broader spectrum of care can result. The beautiful private facility offers upscale accommodations and resort-like amenities, which enhance the overall experience while being cared for at Elevation. For more details about our treatment program for bipolar disorder, please reach out to Elevation Behavioral Health today at (888) 561-0868.

 

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hair pulling anxiety disorder
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What is Hair Pulling Anxiety Disorder?

Impulse control disorders come in many forms. These behavioral disorders involve an involuntary compulsion to engage in a behavior, such as gambling, binge eating, reckless high-risk acts, skin picking, or stealing. Another type of impulse behavior is hair pulling.

So, what is hair pulling anxiety disorder? Hair pulling disorder, referred to clinically as trichotillomania, involves the irresistible urge to pull one’s hair, from the scalp, the face, or other areas on the body. This repeated hair pulling can result in embarrassing bald spots on the head, or missing eyebrows. Even though the disorder is very distressing to the individual, they are unable to stop pulling out their hair.

Trichotillomania is classified as an anxiety disorder, so treatment measures are aligned with others that help individuals who suffer from anxiety, such as obsessive-compulsive disorder or generalized anxiety disorder. This impulse control disorder can be modified and managed using therapeutic interventions, although it is a chronic condition.

What is Hair Pulling Anxiety Disorder?

This mental health condition features an inexplicable urge to pull hair from one’s head, face, or body. The severity of hair pulling anxiety disorder can range from a mild form that is manageable, to a more severe compulsion that can lead to an overwhelming need to continue pulling the hair.

The resulting patchy bald spots or missing eyelashes or eyebrows can be a source of embarrassment and self-consciousness. Some individuals with hair pulling anxiety disorder may go to great lengths to cover their missing patches of hair. Some may become so distressed about how they appear, or by being unable to control the compulsion, that they avoid social situations entirely.

Trichotillomania can result in hair and skin damage over time. The constant picking at the scalp and pulling the hair out can lead to infections and can permanently scar the scalp. Hair picking disorder can also result in the inability for the hair to grow back.

Usually the hair pulling itself is done in private, when the urge can be controlled. The behavior may be intentional, as a method of relieving stress, or the individual may be unaware that they are pulling their hair. Individuals with hair pulling anxiety disorder may also struggle with similar compulsions, such as picking at the skin, chewing the lips, or biting fingernails.

Symptoms of Trichotillomania

The signs and symptoms of hair pulling anxiety disorder include:

  • Pulling out the hair on the head, eyebrows, eyelashes, or other body areas
  • Constantly twirling or tugging at the hair
  • Pulling the hair between the teeth, chewing on the hair
  • Constantly checking the roots of the hair
  • Eating pulled out hair
  • Playing with pulled out hair, rubbing in across the face
  • A sense of stress or anxiety prior to pulling the hair, or when resisting the urge
  • A sense of relief after the hair is pulled
  • Attempting to stop pulling the hair, but unable to do so
  • Experiencing social, school, or workplace distress due to the hair pulling disorder

What Causes Hair Pulling Anxiety Disorder?

Science has not yet determined what causes trichotillomania. However, there are some risk factors that have been identified. These include:

  • Genetics. This disorder may be more prevalent within families.
  • Stress. Traumatic or highly stressful events or situations can trigger trichotillomania.
  • Age. The usual age of onset is between the ages of 10-13.
  • Coexisting disorders. The individual may have a co-occurring depressive or anxiety disorder.

Treatment for Trichotillomania

Trichotillomania is diagnosed following an examination and interview with a physician or mental health practitioner. The doctor will assess the level of hair loss and ask questions about what leads to the hair pulling behaviors. This may include questions about feelings of stress or anxiety that precede the hair pulling, and then how the individual feels after they have pulled the hair out. The doctor will also want a mental health history, to determine is there are coexisting mental health disorders involved.

Treatment for hair pulling anxiety disorder involves therapies that will help the individual change their thoughts and behaviors around this compulsive behavior. Therapies might include:

  • Cognitive behavioral therapy (CBT)
  • Habit reversal training
  • Acceptance and commitment therapy

In some cases, medication may be included in the treatment plan. An antidepressant such as Anafranil has been shown to help patients with trichotillomania. Zyprexa, an atypical antipsychotic, is also prescribed to treat this disorder.

Elevation Behavioral Health is a Luxury Residential Mental Health Center in Los Angeles

Elevation Behavioral Health provides upscale residential mental health services, and treats hair-pulling disorder. The intimate size of our holistic and evidence-based program provides a more attentive clinical staff that will partner with you, guiding you toward healing and recovery from this challenging condition. If you are wondering about hair pulling anxiety disorder, and whether it can be effectively treated, please contact our team for more information about our program at (888) 561-0868.

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Anxiety about going to work
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What to Do When You Have Anxiety About Going to Work

The feelings of anxiety do not begin with the morning alarm bell. Nope, the anxiety about going to work is felt throughout the night with fitful, restless sleep. The mere idea of entering the workplace triggers waves of stress that threaten to undermine any effort to be productive and engaged at work, and often result in calling out sick.

Workplace phobia, according to a definition published in Psychology, Health & Medicine, is defined as “a phobic anxiety reaction with symptoms of panic occurring when thinking of or approaching the workplace.” Considering the serious consequences of having anxiety about going to work, this particular phobia can be particularly devastating to not only one’s professional life, but their personal life as well. Being unable to keep a job due to this type of phobia can have far-reaching and deleterious consequences.

This specific source of this type of anxiety has often been lumped in with various other disorders. These include obsessive-compulsive disorder, social phobia, specific phobia, and generalized anxiety disorder. This is due to the features of the workplace phobia disorder, which can be recognized in these other forms of anxiety disorder. Finding a remedy is critical, and will likely involve a combination of therapies to help the individual overcome the dread and fear of going to work.

About Workplace Phobia

Individuals who have anxiety about going to work may exhibit a higher level of psychosomatic symptoms. These are the physical symptoms that can accompany a mental health condition, including gastrointestinal distress, migraines, pain, headaches, and fatigue, and often result in excessive absenteeism due to sick days. In fact one 2014 study published in the Journal of the American Board of Family Medicine found that 10% of patients with chronic mental health conditions who sought sick leave authorizations for their physical symptoms suffered from workplace phobia.

Identifying workplace phobia is essential in turning the ship around and overcoming a disorder that is negatively impacting quality of life. Employers also benefit from gaining an understanding of this type of anxiety, as loss of productivity related to paid sick days, having to hire temporary workers, and the impact on fellow coworkers are added costs to the business.

Intense irrational fear emerges when the individual thinks about or attempts to go to work. The triggering stimuli, such as encountering the supervisor or colleague, can cause symptoms like those of a specific phobia, such as:

  • Sweating
  • Hot flashes, chills
  • Trembling
  • Choking sensation
  • Inability to face the trigger (enter the workplace)
  • Chest pain, tightness
  • Dry mouth
  • Ringing in the ears
  • Intensive fear when approaching or considering the workplace
  • Shortness of breath
  • Sensation of butterflies in the stomach
  • Mental confusion, disorientation
  • Rapid heart rate
  • Nausea
  • Headaches
  • Reduction of symptoms when leaving or avoiding the workplace

When exposed to the workplace trigger, the symptoms are so uncomfortable and frightening that the anxiety about going to work can result in avoidance behaviors, thus the high rates of sick leave.

According to an article published in the Journal of Anxiety Disorders, There are several subtypes of work phobic, including:

  • Work-related anxiety
  • Work-related panic
  • Work-related social phobia
  • Work-related phobia
  • Work-related generalized anxiety
  • Work-related PTSD

What Causes Workplace Phobia or Workplace-related Anxiety?

Workplace phobia, also referred to as ergophobia, can have various causal factors. Aside from the existence of a disorder such as social anxiety, which can feature work-place anxiety or phobia features, other risk factors might include:

  • Having had a prior work-related experience that was traumatic, such as sexual harassment or bullying
  • Performance-based fears
  • Fear of required oral presentations
  • Ongoing interpersonal issues and conflicts with a superior
  • Family history of social anxiety or phobia
  • Multiple traumas or significant negative life events lead to coping or stress-management issues at work

How to Treat Workplace Phobia

Treating work-related anxiety will revolve around changing the thought distortions that lead to the avoidant behaviors or panic symptoms. Cognitive behavioral therapy (CBT) is a type of psychotherapy that helps patients identify the dysfunctional thought-behavior patterns and guide them toward reframing thoughts to eventually be able to cope when confronting the work-related trigger. Combining CBT with exposure therapies that help desensitize the patient to the triggering event or situation can yield positive results.

Medication also plays a role in treatment for workplace phobia or anxiety. Drugs that reduce anxiety, such as benzodiazepines or beta blockers, may help improve the individual’s ability to function in the workplace once again.

Certain holistic strategies can assist in the reduction of stress or anxiety symptoms. These might include yoga, guided meditation, deep breathing exercises, mindfulness, getting regular exercise, and reducing caffeine intake.

Elevation Behavioral Health Treats Workplace Phobia and Workplace-related Anxiety

Elevation Behavioral Health is a luxury residential mental health program located in Los Angeles, California. The team at Elevation has crafted a highly effective treatment protocol for treating workplace phobia or anxiety, using an integrative approach. This includes the evidence-based therapies, such as cognitive behavioral therapy and exposure therapy, adjunctive therapies, such as EMDR, and holistic therapies that provide additional coping skills through mindfulness training and meditation. For more information about our program, please contact Elevation Behavioral Health today at (888) 561-0868.

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losing job due to depression
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How to Protect Yourself From Losing a Job Due to Depression

Imagine being stricken with an unexpected medical condition that ended up sabotaging your ability to perform your usual job duties. Maybe it is an autoimmune disease or cancer—any life-impairing health condition—that you notice is thwarting your efforts to continue with your usual standard of performance on the job. Does the boss fire you? No, in most cases the boss is sympathetic and accommodating, allowing you to reduce your responsibilities or hours, or even take a leave, while you seek treatment.

Now replace that medical condition with a mental health disorder such as depression. Depression can be at least as debilitating as a physical health problem, but some employers may still attach a stigma to it. They may not recognize that the symptoms that are negatively impacting productivity or attendance are truly valid, and may not be as willing to accommodate you during the depressive episode.

Thankfully, laws are in place to protect us from being discriminated against or losing a job due to depression, or any other mental health disorder under most conditions. By having a clear understanding of employee rights you will be armed with the information that can help prevent losing a job due to depression.

Is Depression Considered a Disability?

When the depression is considered to be a long-term condition, an employer cannot discriminate against the employee who is struggling on the job. An employer is not permitted to fire an employee due to a mental health disorder, nor is the employer allowed to reject someone for a promotion or a job, or to force someone to take a leave. Employees struggling with depression have a right to ask for reasonable accommodations that will allow them to keep their job while they are dealing with the disorder.

According to the Americans with Disabilities Act, a person can qualify for disability under these criteria:

  • They have a physical or mental impairment that substantially limits one or more major life activities and/or bodily functions. Major life activities include caring for yourself, performing manual tasks, seeing, hearing, eating, sleeping, walking, standing, lifting, bending, speaking, breathing, learning, reading, concentrating, thinking, communicating, and working.
  • They have a history of such an impairment
  • They are regarded as having such an impairment

In most cases, the condition must be present for several months before it is considered a long-term problem, however the condition dose not need to be permanent or severe to be considered “substantially limiting.”

Do You Have to Disclose the Depression?

Some may be very concerned about losing a job due to depression, and are very resistant to revealing the nature of their condition. Although legally it is not required that an employee disclose the nature of their condition, in some cases it will be unavoidable. For example, if the employee requests reasonable accommodations, if they pose a safety risk, or if there is evidence that they are unable to perform their job duties it may be required to discuss the nature of the mental health situation. An employee that chooses to share with coworkers or management about their depression is free to do so.

Is the Employer Required to Provide Accommodations?

Employees have a legal right to request reasonable accommodations to help them perform their duties. This is so for a mental health condition that would, if left untreated, could substantially limit one’s ability to concentrate, communicate, eat, sleep, interact with others, care for oneself, regulate thoughts or emotions. It is not necessary to stop receiving treatment for the depression in order to get the accommodation.

Treatment for Depression

The most important message, over and above being able to keep one’s job, is the need to get treatment for the depression. Depression rarely just resolves on its own. In fact, untreated depression can continue to worsen, further disrupting the ability to perform job duties, and risking serious outcomes, such as suicide. Treatment for depression is available in both outpatient and residential settings, providing many options for getting the appropriate level of care.

In most instances, depression is treated with a combination of antidepressant drug therapy and psychotherapy. Antidepressants take 4-6 weeks before being effective, and it may be necessary to try more than one drug before finding the one that offers relief. Therapy helps individuals to process emotional pain or past trauma that might be factors in the depressive disorder. In addition, cognitive behavioral therapy is helpful in shifting negative thought patterns towards more positive self-messaging.

Elevation Behavioral Health Provides Residential Depression Treatment

Elevation Behavioral Health is a Los Angeles-based residential program that offers intensive mental health treatment. When outpatient interventions have not adequately helped your major depressive disorder, you may benefit from a more targeted treatment plan. Providing deluxe accommodations and a highly attentive clinical staff, Elevation Behavioral Health strives to make the client’s stay a comfortable and healing experience. Elevation Behavioral Health offers a full daily schedule of therapies and adjunctive activities to help individuals struggling with depression reclaim their joy and return to fully functioning at their chosen career. For more information about the program, or to get information about losing a job due to depression, please contact us today at (888) 561-0868.

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Signs of Bipolar Depression Relapse
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Signs of Bipolar Depression Relapse

Living with bipolar disorder can be seen as an exercise in both patience and proactive planning. Patience, because the fact is that bipolar disorder is a chronic and complex mental health disorder that is ever shifting, and proactive planning is key to managing the warning signs of an impending relapse.

And relapse there will be. Bipolar disorder is a lifelong diagnosis, the alternating manic and depressive episodes that one must learn to manage. Even the most valiant efforts to stave off recurrence may fail when signs of bipolar depression relapse are flashing. But doing something is a better option than doing nothing when impending relapse is on the horizon.

Sometimes a relapse will completely surprise the person. There may not be any foreseeable signs of bipolar depression relapse on the horizon—it just happens. Even though the relapse was unforeseen, there are still steps to take to mitigate the symptoms of depression. Living with bipolar disorder is all about management.

About Bipolar Disorder

Bipolar disorder, once known as manic-depressive disorder, is a mental illness that features extreme shifts between manic emotional states and depressive emotional states. In most cases, bipolar disorder appears in the teen or early adult years, and affects 2.6% of the U.S. adult population, or approximately 5.7 million people, according to the National Institute on Mental Illness. Of those diagnosed with bipolar disorder, more than 8 out of 10 will have a severe form of the mental health disorder.

While bipolar disorder is characterized by extreme mood swings between mania and depression, there are variations of the disorder. These include:

Bipolar I Disorder: Features dramatic mood swings between manic episodes and depressive episodes, with normal period between them.

Bipolar II Disorder: Features at least one depressive episode and one hypomanic (less severe than manic) episode. Depression symptoms are more prevalent.

Cyclothymic Disorder: Features milder versions of both mania and depression that occur often.

Bipolar Disorder Not Otherwise Specified: Features the symptoms of mania and depression that do not meet diagnostic criteria.

Common Bipolar Depression Relapse Signs

Although the actual cause of a bipolar relapse is still unknown, there may be a pattern of triggers or situations that can lead to a bipolar depression relapse. Lack of sleep and too much stress are common triggers that can bring on a bipolar relapse. Research shows that at least 75% of those with bipolar disorder will experience relapse, according to a study published in the Iranian Journal of Psychiatry. Bipolar II disorder, which is defined by the prevalence of depressive episodes, is more prone to relapse.

Some of the signs of bipolar depression relapse include:

  • Increasing irritability
  • Restlessness
  • More headaches, stomachaches
  • Change in eating habits
  • Sleep problems
  • Trouble concentrating
  • Fuzzy thinking
  • Difficulty making decisions
  • Avoiding social interaction, skipping school, staying home from work
  • Not taking medication, missing therapy appointments
  • Feeling flat
  • Thoughts of suicide

Anticipate Potential Triggers and Take Preventative Steps

When the signs of an impending relapse are seen, as often they are not and depression can suddenly appear without warning, there are some steps to take to ward off the relapse. Because bipolar is a chronic condition, it may help track the triggers or symptoms of the disorder by keeping a journal. This is a tool that may begin to reveal a pattern of signs that can help the individual become more aware of a forthcoming relapse back into depression.

Also, just anticipating events or situations that might trigger a depressive episode can help prepare for it. Noting on a calendar a few days before a potentially triggering event can help one focus on self-care, to take proactive steps that can possibly diminish the impact of the event. This might include massage therapy, acupuncture, mindfulness meditation, getting quality sleep, eating nutrition rich foods, and seeing the therapist.

Managing Bipolar Disorder

Although there is no cure for bipolar disorder, the condition can be managed using a combination of psychotherapy, medication, and lifestyle adjustments. By being vigilant and proactive with these interventions, an individual can expect to enjoy more stability and overall wellness while living a productive life.

Medication: Mood stabilizing medications, such as antipsychotics and antidepressants, are the most commonly prescribed drugs for treating bipolar disorder. Lithium is the most commonly prescribed medication for controlling bipolar disorder, while anticonvulsants and SSRIs are also utilized often as well. It is important for patients to comply with their medication schedule and dosing to maintain stability.

Psychotherapy: Because thoughts can influence behaviors, and negative thoughts can lead to self-destructive behaviors, cognitive behavioral therapy is an excellent therapy for helping individuals with bipolar disorder. CBT helps one identify and correct the irrational and troublesome behavior patterns associated with bipolar disorder.

Lifestyle: Establishing a healthy routine is an essential aspect of managing bipolar disorder. Sticking to a regular sleep schedule, getting regular exercise, eating nutritiously, and managing stress are all intrinsic to achieving stability and reducing the probability of a relapse.

Even a diligent adherence to these important treatment methods may not deter the signs of bipolar depression relapse. Bipolar disorder remains an unexplained mystery in many ways, including the cycling of relapses. However, by charting thoughts, feelings, situations, trigger exposures, emotional issues, work and family issues, and health conditions, managing pre-relapse situations and taking proactive steps can help avoid the onset of a relapse.

Elevation Behavioral Health Residential Treatment for Bipolar Disorder

Elevation Behavioral Health is a Los Angeles-based mental health provider that provides residential services for individuals with bipolar disorder. When symptoms have worsened and relapse becomes a chronic issue, a stay at Elevation Behavioral Health may provide the intensive and focused care needed. Our expert clinical team will design a customized treatment protocol that addresses each individual’s unique bipolar features for best results. Using a medley of evidence-based therapies and holistic approaches, Elevation Behavioral Health addresses all aspects of the person. For more details about our residential program, please contact Elevation today at (888) 561-0868.

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