Anxiety and Depression
Recently, the USPSTF updated their guidelines for screening teenagers for depression. This update gives pediatricians — and all family care doctors — a framework for addressing this disorder. There are plenty of good reasons to screen teens for depression: it’s common among teenagers, it can look very different from depression in adults, and it can be dangerous to a teenager’s current — and future — health and happiness. Fortunately, there are a number of effective treatments available.
A look into the “brain science” behind substance use disorders highlights the fact that for many people with addictions, “just say no” just doesn’t work. The biological underpinnings of addiction teach the brain to react unusually strongly if deprived of drugs, which can make recovering from an addiction incredibly difficult. Fortunately, it’s possible to teach the brain to rediscover healthier sources of joy and reward.
The U.S. Preventive Services Task Force has recently updated their guidelines on depression screening to include pregnant and postpartum women, which will be a great help to the many new moms who experience mood changes that go beyond the “baby blues.” The updated guidelines offer other benefits, too, that help improve everyone’s access to mental health care — especially those who can’t currently afford it.
For people with generalized anxiety disorder (GAD), worrying actually has a protective benefit: if they worry all the time, they don’t have to experience a sudden outpouring of negative emotion when something bad really does happen. Fortunately, people with GAD — and all the other “worriers” out there — can retrain their brain to accept the worry and then look past it.
If you’ve been having trouble sleeping, you may be concerned that there’s no other option besides prescription sleep aids. Fortunately, there are many other treatments to pick from. In fact, sleep specialists now agree that behavioral (non-drug) treatments should be the first treatment for most cases of insomnia. But beware: not all non-drug insomnia treatments are created equal.
The U.S. Preventive Services Task Force recently updated their guidelines on screening for depression. This time around, they recommended widespread screening through primary care practices, plus gave special attention to women who are pregnant or recently gave birth. These matter-of-fact, achievable guidelines and goals have the potential to reap enormous health benefits.
Many parents of teens with depression worry that antidepressants could cause an increase in suicidal thoughts or behaviors. Previous research had suggested antidepressants are safe for teens. But recently, researchers have re-examined the original data and found antidepressants may not be as safe for teens as once thought. As always, whether to start an antidepressant depends heavily on your teen’s personal situation.
In a recent study, online cognitive behavioral therapy programs didn’t appear to improve depression any more than standard primary care for depression. But that study was conducted in the United Kingdom, where primary care for depression includes a much wider variety of resources than are typically available in America. Even though these online programs have proven to be helpful, simply making them available isn’t sufficient —they have to be engaging and rewarding enough that people will be motivated to stick with them.
Generations of parents have worried about their kids having friends who are a “bad influence.” But what about friends who are a good influence? Recent research suggests that teens whose friends are emotionally healthy are less likely to suffer from depression, and that such friends can help improve the mood of teens who show signs of depression. This study is one of several in an emerging area of research on the relationship between our social networks and our health and well-being.
The need to support injured soldiers dates back to our country’s earliest days. That mission remains essential today. Those who may be eligible for VA benefits and services — veterans and their family or survivors — make up a quarter of the United States’ population. Individuals seeking care through the Department of Veterans Affairs deserve a thoughtful and compassionate evaluation to not only compensate them for their service, but connect them with the care they need.