MentalHealth - College Mental Health Mental Margaret S...

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Unformatted text preview: College Mental Health Mental Margaret S. McKenna, M.D. Mental Health Service Mental Harvard University Health Service The Challenges of College The The best years of your life? The Expectations.. Expectations.. Even positive change is Even stressful stressful Greater academic demands Unstructured time Decreased adult availability Being on your own in a new Being environment environment Changing relations with family Challenges of College: Choices Choices Alcohol and other drugs Sex-identity, values, practices Food Sleep Balancing Academic and Balancing Extracurricular Extracurricular Roommates What is going on in College and should we be worried about it? should 45% students self report 45% depression depression 10% report serious suicidal 10% ideation and 44% binge drink ideation Stress Stress Biggest problem described by Biggest students students Stress Test Stress Obstacles Obstacles Most people who need care don’t Most seek it or receive it seek Stigma, cultural pressure, mistrust, Stigma, lack of information keep people out of care of So do lack of resources; treatment So and medication are expensive and Care is disjointed Some schools don’t see emotional Some well-being and growth as in their “mission” “mission” Common problems Common Relationship problems Depression Anxiety Eating Disorders Eating Substance Abuse Sleep Problems Depression Depression Common, often unrecognized Emotional: sadness, loss of Emotional: pleasure, feeling hopeless/worthless, irritability, weeping irritability, Mental: poor concentration,loss of Mental: interest interest Physical: Sleep disturbance, appetite Physical: change, “aches and pains” change, Symptoms persist beyond two weeks Suicide Suicide Acute Risk Factors: Severe Anxiety, Agitation, Insomnia Severe Recent onset Alcohol Abuse ALWAYS take talk about suicide ALWAYS seriously seriously Contracts for Safety Meaningless: 77% Contracts in hospital denied ideation or had contract contract 45 of 76 suicides occurred during first 45 week post hospitalization week Fawcett, Jan Update on Suicide Risk Factors: Currents in Affective Illness Vol Fawcett, XXIII, Number 9 Sept. 2004 XXIII, Anxiety Anxiety Situational Developmental Generalized anxiety disorder Performance Panic disorder, OCD, phobias Eating Disorders Eating Glamour survey- 33,000 women 6% Glamour happy with their bodies 5% Bulimia, 1% Anorexia, 20% 5% disordered eating. 40% overwt. 60% diet diet Anorexia, Bulimia, ED NOS 5-15% mortality from anorexia 1/3 of people don’t improve from 1/3 serious anorexia serious Alcohol Alcohol Alcohol Abuse Alcohol Binge Drinking- 5 or more drinks one Binge sitting in past 2 weeks sitting 44% meet criteria in national surveys 41% did something they regretted 31 % forgot what they did 9.7% unprotected sex 17% physically injured Stimulant Abuse Stimulant 900% increase in production of 900% methylphenidate (Ritalin) 1990-2000 methylphenidate 40% increase 2000-2002 despite 40% release of Metadate and Concerta release 3-7% school age kids ADHD 50% carries over into college 16% use recreationally by mouth, 16% snorting or (rarely) by injection snorting Sleep Sleep Sleep Problems Sleep 35% of adult population experience 35% insomnia insomnia 11% of college students get a “good 11% night’s sleep” night’s Loss of cognitive functioning, driving Increased risk of depression < 7 hours yields sleep deprivation Who is Responsible? Who Everyone. Other students see changes in peers Residence staff see behavioral Residence changes Faculty sees loss of motivation and Faculty withdrawal withdrawal Senior administration must take Senior student well-being seriously and provide resources provide Campus Resources Campus UNI Counseling Center 273-2676 UNI Substance Abuse Services http:// Mark Rowe, 273-3423 Mark UNI Violence Intervention Services Joan Thompson, 273-2137 UNI Dean of Students Lyn Redington, 273-2332 Community Resources Community Covenant Clinic Allen Psychiatry Black Hawk Grundy Mental Black Health Center Health Family Practice Center Allen and Covenant Hospitals Allen The Takeaway The Academic performance is enhanced Academic by physical and emotional health by We can learn to recognize problems We much earlier much Depression, Anxiety and Stress are Depression, treatable treatable Education, Psychotherapy and Education, Medication are all effective Self Care--eat, sleep, exercise--is a Self cornerstone of health (for all of us!) cornerstone ...
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  • Spring '12
  • StaceyLuchtenburg
  • Mental Health Service, College Mental Health, University Health Service, Sleep Problems, greater academic demands

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