DEPRESSION

1. DEPRESSION “Depression can seem worse than terminal cancer, because most cancer patients feel loved and they have hope and self-esteem.”

2. DEPRESSION de·pres·sion/ dipreSHən/ • Severe despondency and dejection, accompanied by feelings of hopelessness and inadequacy. • A condition of mental disturbance, typically with lack of energy and difficulty in maintaining concentration or interest in life. • Depression is a MOOD disorder • Depression is a disease of the brain; a chemical imbalance

7. Forms Of DEPRESSION • Chronic (Mild – Serious) • Long lasting; lingering • Seasonal Affective Disorder • Generally occurs during winter months WHY? • Manic – Depressive • Weeks or months of extreme highs followed by extreme lows

8. Physical Changes in sleeping Much more or much less Changes in eating Much more or much less Fatigue, loss of energy. Symptoms of DEPRESSION

9. Symptoms of DEPRESSION Behavioral/Attitude • Diminished enjoyment of previously pleasurable activities • sex, sports, hobbies, going out with friends, etc. • Difficulty concentrating or making decisions. • Neglecting responsibilities and personal appearance.

10. Symptoms of DEPRESSION Emotional • Feeling down, apathetic, irritable, pessimistic, negative, guilty, anxious, empty, etc. • Suicidal thoughts • Feeling hopeless and helpless • Feelings of worthlessness

11. Coping with DEPRESSION Many people need: • MEDICATION • THERAPY • plus Some might only need: • Positive Thinking • Exercise • Socializing • Balanced Diet • Lots of bright light • Get outside • Get away from what is stressing you or making you sad.

13. Draw or Describe • What does depression look like • Would it be living or an object? • What name might it have? • How would you decorate it? • What would it look like as a tree or flower? • An outfit? A building? A person? An animal?

14. suicide A permanent solution to a temporary problem

15. Coroner solves mystery of human feet found on beaches A grim mystery has been baffling Washington state and British Columbia, Canada: Why do all these disembodied human feet keep washing up on our beaches? The appearance of 12 feet in rubber soled shoes in five years, with six surfacing in a six-month period, made officials worry that something fishy was afoot. Theories ranged from a serial killer to an aircraft crash. According to London's Daily Mail, British Columbia coroner Stephen Fonseca, who has been studying the phenomenon for years, says the source is a bridge over Vancouver's Fraser River, and most of the feet belonged to suicide victims. Thanks Stephen, now please take a vacation. So, beachcombers, that means there may be more feet washing up in the future. Tread carefully.

16. 220 feet 120 mph 1 jump every 2 weeks 98% die

17. Who is affected by one’s choice to take their own life?

18. Between 1952 and 1995, suicide in young adults nearly tripled. Facts on suicide Suicide takes the lives of nearly 30,000 Americans every year. In the month prior to their suicide, 75% of elderly persons had visited a physician. Over half of all suicides are completed with a firearm. For young people 15-24 years old, suicide is the third leading cause of death. Many who attempt suicide never seek professional care. There are twice as many deaths due to suicide than HIV/AIDS. Suicide rates among the elderly are highest for those who are divorced or widowed. Suicide rates in the United States are highest in the spring. Over half of all suicides occur in adult men, ages 25-65.

19. Substance abuse is a risk factor for suicide. Facts on suicide By 2010, depression will be the #1 disability in the world. (World Health Organization) The strongest risk factor for suicide is depression. There are three female suicide attempts for each male attempt 15% of those who are clinically depressed die by suicide. Research has shown medications and therapy to be effective suicide prevention 1 in 65,000 children ages 10 to 14 commit suicide each year. Suicide can be prevented through education and public awareness

20. The highest suicide rate is among men over 85 years old: 65 per 100,000 persons. Facts on suicide An average of one person dies by suicide every 16.2 minutes. (CDC, AAS) 80% of people that seek treatment for depression are treated successfully. Suicide is the 3rd leading cause of death for 15- to 24-year-old Americans There are four male suicides for every female suicide. (CDC, There are an estimated 8 to 25 attempted suicides to 1 completion. It is estimated that there are at least 4.5 million survivors in this country

21. Signs of suicide Signs of planning a suicide such as obtaining a weapon or writing a suicide note Giving awayarticles of either personal or monetary value Diminished ability to think or concentrate,slowed thinking or indecisiveness Depressed mood Loss of interest or pleasure in usual activities Speaking and/or moving with unusual speed or slowness Getting affairs in order (paying off debts, changing a will) Withdrawal from family and friends Feelings of worthlessness, self-reproach, or guilt Fatigue or loss of energy Thoughts of death, suicide, or wishes to be dead Change in sleeping patterns (too much/little, disturbances) Change in weight or appetite

22. Signs of suicide Life isn't worth living Have you heard someone say: I'd be better off dead Next time I'll take enough pills to do the job right I just can't deal with everything -- life's too hard I won't be around to deal with that Take my (prized collection, valuables) - I don't need this stuff anymore I won't be in your way much longer Nobody understands me -- nobody feels the way I do You'll be sorry when I'm gone There's nothing I can do to make it better I feel like there is no way out

23. Who can I call?

24. BULLYING “When another person makes you suffer, it is because he suffers deeply within himself, and his suffering is spilling over. He does not need punishment; he needs help. That's the message he is sending.”

25. Types of bullying • Cyber • Written threats, harassment, or rumors • Physical • Assault • Taking or damaging property • Relational • Rejecting or excluding from a group • Spreading rumors • Verbal • Harassment • Teasing

26. BULLYING

27. HAVE YOU… YES ~~~~~~~~~~~~~~~~~~~~MAYBE~~~~~~~~~~~~~~~~~~~~NO • Bullied someone? • Been bullied? • By an adult? • By a peer? • Observed someone being bullied and just watched? • Observed someone being bullied and stepped in to stop it? • Stood up to someone bulling you? • What did you say/do?

28. What is the connection to bullying? Self-Esteem Empathy Stress Depression The law Violence Get into groups of 2 or 3 and write 2-3 ideas for each of the following factors:

29. Is it bullying? • Stan writes a blog that many of his classmates read. One night he calls a girl in his class “fat and ugly.” • Mandy invites every girl on the cheerleading squad to her birthday party except Caitlyn. • Chris greets his friend Jon (who is 4’11”) with “Hey Shrimp!” Jon smiles and replies, “What’s up dude.” • James corners Alice in the hall and says, “You better watch what you say, or I’ll hurt you.”

30. Is it bullying? • Sarah hears that Tammy is flunking English. Sarah doesn’t know if it’s true, but she tells all her friends anyway. • Hank punches Dean and steals his iPod. • Liz signs into an instant messenger program using her friend Molly’s screen name. Pretending to be Molly Liz tells Molly’s crush, Kevin, that she likes him. • Franny greets Owen with, “What’s up, Chunky?” Owen gets flustered and turns red. • When Ms. Jackson returns Ian’s geometry test, she says, “Another poor performance. You can be a real moron sometimes.

31. SELF-INJURY "I'll draw you a picture,I'll draw it with a twist,I'll draw it with a razorblade,I'll draw it on my wrist.And if I draw it correctly,a red fountain will appear...to wash away my sorrows,to chase away my fears.” "How will you know I am hurting,If you cannot see my pain? To wear it on my bodyTells what words cannot explain.”

32. What is self-injury? • For people who have Borderline Personality Disorder, self-injury can be embarrassing and even shocking, but may still be a very real fact of life. They may not be able to understand why they deliberately hurt themselves, and may be frightened by the fact that they do. They injure themselves by cutting (or other means) and when they do, they may feel a momentary sense of calm and/or a release of tension. Unfortunately, these feelings are quickly followed by feelings of shame and guilt and the return of other painful emotions.

33. Self-injury is not a suicide attempt; however, self-injury can bring with it the very real possibility of serious, and sometimes even fatal, injuries. • Self-injury, many times, is done on impulse, so it is sometimes considered an impulse-control behavior problem. It is also known as self-harm, self-injurious behavior, and self-mutilation.

34. Self-injury is not a specific mental illness or disorder, and is not listed in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which is used by psychiatrists to diagnose people with mental illness. Instead, it is a type of abnormal behavior. Sometimes, it can accompany other mental disorders or illnesses such as Bipolar Disorder or Borderline Personality Disorder, but it isn’t a disorder by itself.

35. Self-injury is most commonly associated with cutting, involving making cuts or scratches on the person’s body. Cutting is done with any sharp object – including knives, razor blades, needles, or even fingernails. • The arms, legs, and front of the abdomen are the most frequent targets of self-injury, because these are the areas that can be easily reached, and are the best (most easily) hidden under clothes. However, any area of the body can be subject to self-injury.

36. Some people don't feel any pain while they're hurting themselves, even when they’re creating deep cuts. Other people do feel pain upon self-injury, but they welcome the pain as punishment, or a distraction from their emotional turmoil.

37. Types of self-injury Cutting – most common Burning themselves Poisoning or overdosing Scratching themselves Carving words or symbols on their skin Breaking their bones Hitting or punching themselves Piercing their skin with sharp objects Head banging Pulling out their hair Interfering with wound healing Pinching themselves Biting themselves

39. EATING DISORDERS

40. ANOREXIA NERVOSA • Definition: : a serious eating disorder primarily of young women in their teens and early twenties that is characterized especially by a pathological fear of weight gain leading to faulty eating patterns, malnutrition, and usually excessive weight loss

41. Who is looking at who? What does she see? What thoughts are going through her mind?

42. Health Consequences

43. Lethal Consequences • Kidney Failure • Heart Failure • Anemia • Osteoporosis

44. Bulimia Definition: a serious eating disorder that occurs chiefly in females, is characterized by compulsive overeating usually followed by self-induced vomiting or laxative or diuretic abuse, and is often accompanied by guilt and depression

46. Binge-Eating A disorder in which people regularly go on large binges, uncontrollably eating large quantities of food in short periods of time.

47. Health consequences • Obesity • Heart Disease • Diabetes • High Blood Pressure

48. Videos on Eating Disorders 1 • National Geographic Taboo - Beauty, Isabelle Caro • When did Isabelle become anorexic • How does she describe her appearance and physical problems • What are some of the physical effects of anorexia? 2 • Dr. Phil on Bulimia • Name 1 factor of bulimia? • What are some warning signs of bulimia? • What can physically happen to the body? • What other issues often accompany bulimia? • Understanding Bulimia • What do bulimics often feel after an eating binge? • How are a bulimics teeth affected by vomiting? 3 • Anorexia / Bulimia Project • How do bulimics and anorexics generally view themselves? • What are the death statistics on for bulimia? 4 • Reality of Bulimia • What is one of the main driving forces behind anorexia and bulimia? • How can anorexia affect ones hair? Bones? • What products might a bulimic use to purge the food they consume? 5

49. Videos on Eating Disorders • You Know My Name, Not My Story; bullying and eating disorders • What was her problem in the 6th grade? 7th grade? 8th grade? 9th grade? • What caused her eating disorder? • What names was she called? • Did she show her pain on the outside? Where did she show her pain? 5 • Elle: The True Story of a Young Girl • When did Elle begin to develop her eating disorder? • What percent of dancers develop eating disorders? • Who can help overcome an eating disorder? • What are some signs of an eating disorder? 6 • Slave to My Eating Disorder - Taryn's Story • What lead to Taryn’s eating disorder? • What does she mean when she says, “I am a slave to my disorder?” • What is Turning Point? 7

50. Videos on Eating Disorders • Binge Eating Disorder • What is the most common eating disorder? • What generally causes this problem? • How can someone overcome this disorder? 5 • Binge Eating- The Moring Show • Is binge-eating an addiction • How many people suffer from this disorder? • How long has Marie been binge-eating? • To what does Marie compare her disorder? • About how many calories does she consume when binging? 6 • What is Binge Eating Disorder? • How is binge-eating disorder different from bulimia? 7