Transcript What are Anxiety Disorders?

Toward a Basic Understanding:
A look at
Depression
Anxiety
Psychosis
and Substance Abuse
This educational series is presented by Seminole Behavioral Healthcare as part of our commitment toward a greater
community understanding and response to those suffering from behavioral disorders.
This course is designed to give you information about mental
health and mental illness. Major mental health disorders including
their symptoms and causes are presented. It will give you tips on
how to talk to someone who might be having difficulty coping. It
will also give you specific information about where and how to get
professional help if it is needed.
This course provides an introduction to material contained within
our Mental Health First Aid course. Information about enrolling in
the full 12 hour Mental Health First Aid certification course can be
found at the end of this presentation.
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Behavioral Healthcare
The course is structured as follows:
•
•
•
•
•
Part one: Depression
Part two: Anxiety
Part three: Psychosis
Part four: Substance abuse
Part five: Resources
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LEARNING OBJECTIVES
Through participation in this course, participants will be able to:
1. Define the symptoms of major mental health
disorders,
2. Understand the prevalence of mental health issues
within our communities,
3. Learn how to identify when a person is in need of
professional help, and how to respond effectively,
4. List basic resources available to help those with
emotional and behavioral problems.
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Part one: What
is Depression?

Clinical depression lasts for at least 2 weeks and affects the person’s
emotions, thinking, behavior and physical wellbeing.

It affects the person’s ability to work and to have satisfying relationships.
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Symptoms of Depression
Emotions
Sadness, anxiety, guilt, anger, mood swings, lack of
emotional responsiveness, helplessness, hopelessness.
Thoughts
Frequent self-criticism, self-blame, pessimism, impaired
memory and concentration, indecisiveness and confusion,
tendency to believe others see you in a negative light,
thoughts of death and suicide.
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Symptoms of Depression
(cont’d)
Behavior
Crying spells, withdrawal from others, worrying, neglect
of responsibilities, loss of interest in personal
appearance, loss of motivation, increased or excessive
use of drugs and alcohol.
Physical
Chronic fatigue, lack of energy, sleeping too much or too
little, overeating or loss of appetite, constipation, weight
loss or gain, irregular menstrual cycle, loss of sexual
desire, unexplained aches and pains.
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How common is depression?
• Major depression is leading cause of disability in the
U.S.
• Affects almost 10% of the general population –
approx. 19 million Americans
• 10-25% of women and 5-12% of men will become
clinically depressed
• Women affected almost twice as much as men
• Two-thirds of people with depression never seek
help
Source: www.allaboutdepression.com
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Possible Causes of Depression
 A specific traumatic event can cause a person to slip into depression
 A series of smaller stressful events can build on one another,
causing as much stress as a single major event
 Illness which is life-threatening, chronic or associated with pain
 Recent childbirth or other hormonal changes
 Some health conditions can contribute to depression
 A side effect of some medications
 Stress of having another mental illness, such as anxiety
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Possible Causes of Depression
(cont’d)
 Lack of exposure to bright light in winter
 Family history such as having a depressed family member
 Having a previous episode of depression
 Having a difficult childhood can result in fewer coping skills to face
adult challenges
 Substance/drug misuse, especially alcohol and tranquilizers
 Chemical (neurotransmitter) imbalance
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Depression is often
linked to suicidal
behavior. Let’s look
at some myths and
facts about suicide.
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Myth:
Discussing suicide will cause a
person to move toward doing it.
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Fact:
Study after study shows that
discussing suicidal feelings with a
sympathetic person decreases
the likelihood of acting on those
feelings.
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Myth:
People who repeatedly threaten
suicide are unlikely to actually
attempt suicide.
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Fact:
The vast majority of people who
commit suicide voice their
threats to others repeatedly
before doing so.
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Myth:
People who commit suicide are
insane or irrational.
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Fact:
For most suicidal people, suicide
is a rational problem-solving
option designed to relieve them
of the emotional pain that they
are experiencing.
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Myth:
Because suicide often runs in
families, it is believed to have a
genetic component.
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Fact:
There is no
“suicide gene.”
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Myth:
Once a person has had suicidal
feelings, s/he should always be
considered to be a high suicide
risk.
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Fact:
Most people have fleeting
thoughts of suicide at some point
or another in their lives.
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Myth:
Teenagers are the highest risk
age group for suicide.
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Fact:
While teen suicide is a tragic reality, the
elderly are the highest risk age group. This
is followed by adults age 18-22.
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SUICIDE WARNING SIGNS

Expressions of hopelessness or helplessness
 An overwhelming sense of shame or guilt
 A dramatic change in personality or appearance
 Irrational or bizarre behavior
 Changed eating or sleeping habits
 A severe drop in school or work performance
 A lack of interest in the future
 Written or spoken notice of intention to commit suicide
 Giving away possessions or putting affairs in order
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IF A PERSON IS SUICIDAL
What not to do
 Don’t act shocked and/or disgusted as this creates distance.
 Don’t minimize or brush off the intensity of their feelings.
 Don’t analyze a person’s motives, e.g. “You only feel bad because…”.
 Don’t argue, lecture or try to reassure e.g. “You can’t kill yourself
because…”.
 Don’t ridicule or use guilt to prevent suicide.
 Don’t be sworn to secrecy – involve others – confidentiality doesn’t
ever apply to suicide.
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IF A PERSON IS SUICIDAL
What to do
 Take seriously any communication about feeling suicidal.
 Ask them directly about whether they are planning suicide.
 Talk with them about how they are feeling.
 Find out about their suicide plan – when, where, how?
 Find out about prior times they have felt suicidal.
 Find out about their supports (friends and family).
 Appear confident that things will improve.
 Arrange for someone to stay with the person.
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CRISIS FIRST AID
FOR SUICIDAL BEHAVIOR
1. Do not get involved physically if the person is distressed and threatening.
2. Ensure person is not left alone - stay with the person if you consider the risk of
suicide high OR try to arrange that someone be with them while they get
through the immediate crisis.
3. Seek immediate help:
 Phone Emergency 911, OR
 Take the person to a Hospital Emergency Department, OR
 Take the person to see a doctor or mental health professional.
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CRISIS FIRST AID
FOR SUICIDAL BEHAVIOR
cont’d
4.
If the person is taking alcohol or drugs, try to stop him/her from taking any
more.
5.
Try to ensure person does not have ready access to some means to take their
life.
6.
Encourage the person to talk. Listen without judgement. Be polite and
respectful. Don’t deny the person’s feelings. Don’t try to give advice.
7.
Give reassurance about a favorable outcome for the person.
8.
When the person is resistant to your intervention and you believe they are a
danger to themselves or others, call 911.
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Let’s summarize what we’ve learned about
depression/suicide:
• Depression is a serious but treatable condition.
• Depression is a common disorder.
• There are many causes of depression. It is not
caused by weakness of character.
• Asking about suicidal thoughts and feelings saves
lives.
• All suicidal thoughts and feelings should be taken
seriously.
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Being a Good Listener
Listen Non-Judgmentally
YOU ARE NOT LISTENING TO ME WHEN YOU:
 say you understand exactly how I’m feeling.
 say you have an answer to my problem, before I’ve finished telling you my
problem.
 cut me off before I’ve finished speaking.
 finish my sentences for me.
 are dying to tell me something.
 tell me about your experiences, making mine seem unimportant.
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YOU ARE LISTENING TO ME WHEN YOU:
 really try to understand me, even if I’m not making much sense.
 grasp my point of view, even when it’s against your own sincere convictions.
 allow me the dignity of making my own decisions, even though you think they may
be wrong.
 do not take my problem from me, but allow me to deal with it in my own way.
 hold back the desire to give me advice.
 do not offer me religious solace when I am not ready for it.
 give me enough room to discover for myself what is really going on.
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Give Reassurance and Information
 Depression is a real health problem.
 Depression is a common illness.
 Depression is not a weakness or character defect.
 Depression is not laziness.
 Effective help and treatments are available.
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Helpful Things to Say

Are you okay? How can I help?

You’re not alone in feeling this way. Everybody feels depressed
sometimes. How long have you felt this way? Is it interfering with your
job or relationships?

If you’ve felt this way for a while, maybe it’s time to get some help.
Needing help isn’t a sign of weakness.

If you do have depression, it’s a real medical illness that can be treated.

You don’t have to feel this way forever. Help is available.
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Part two: What
are Anxiety Disorders?
 An anxiety disorder differs from normal stress and anxiety.
 An anxiety disorder is more severe, long lasting and interferes with work
and relationships.
 Frequently co-occurs with depression and / or substance use.
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How common are anxiety disorders?
• Most common mental illness in the U.S. – 40 million
adults aged 18 and older (18.1% of U.S. population)
• People with anxiety disorders are 3-5 times more
likely to go to the doctor and 6 times more likely to
be hospitalized for psychiatric disorders than those
who do not suffer from anxiety disorders.
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This illustrates the most
common symptoms of
anxiety. What do you
see?
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General Symptoms of Anxiety
Physical
Cardiovascular: palpitations, chest pain, rapid heartbeat, flushing.
Respiratory: hyperventilation, shortness of breath.
Neurological: dizziness, headache, sweating, tingling and numbness.
Gastrointestinal: choking, dry mouth, nausea, vomiting, diarrhea.
Musculoskeletal: muscle aches and pains (esp. neck, shoulders), restlessness,
tremor and shaking.
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General Symptoms of Anxiety (cont’d)
Psychological
Unrealistic and/or excessive fear and worry (about past or future events), mind
racing or going blank, decreased concentration and memory, indecisiveness,
irritability, impatience, anger, confusion, restlessness or feeling ‘on edge’ or
nervousness, tiredness, sleep disturbances, and/or vivid dreams.
Behavioral
Avoidance of situations, obsessive or compulsive behavior, distress in
social situations, and/or phobic behavior.
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Symptoms/Behaviors of
POST TRAUMATIC STRESS DISORDER
This disorder is always linked to an experience or event during which the person believed
that his or her life was in danger. It is often appears after events such as a serious
accident, assault, or serving in the armed forces.
The person:
- is jumpy and feels very upset when something happens without warning.
- has a hard time trusting or feeling close to other people.
- gets mad very easily.
- feels guilty because others died and he/she lived.
- has trouble sleeping and his/her muscles are tense.
- states he/she feels like the terrible event is happening all over again. This feeling often
comes without warning.
- has nightmares and scary memories of the terrifying event.
- stays away from places that remind them of the event.
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When a family member has PTSD
• They may seem
preoccupied and
emotionally cut-off from
the family
• They may lose interest in
sex and have difficulty
expressing affection
• They may become obsessed
with keeping the family safe
from harm
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There are three additional anxiety
disorders which are common:
• Generalized anxiety disorder
• Panic Disorder
• Obsessive Compulsive Disorder
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Symptoms/Behaviors of
GENERALIZED ANXIETY DISORDERS
The person:
- worries all the time about things big and small.
- often complains of headaches and other aches and pains for no reason.
- is very tense and has trouble relaxing.
- has trouble keeping his/her mind on things.
- is crabby or grouchy.
- has trouble falling asleep or staying asleep.
- perspires and has hot flashes.
- sometimes says they have a lump in his/her throat or feels like they need to
throw up when they are worried.
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Symptoms/Behaviors of PANIC DISORDER
The person:
- says they have chest pains or a racing heart.
- states he/she is having a hard time breathing or a choking feeling.
- complains he/she feels dizzy, or is sweating a lot.
- says he/she has stomach problems or feels like he/she needs to throw up.
- is shaking, trembling, or states he/she is tingling.
- feels out of control.
- says he/she feels unreal.
- states he/she is afraid they are dying or going crazy.
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CRISIS FIRST AID FOR PANIC ATTACKS
1. If you are unsure if it is a panic attack
call an ambulance.
2. If you are sure it is a panic attack, move
the person to a quiet, safe place.
3. Help to calm the person by
encouraging slow, deep relaxed
breathing.
4. Be a good listener without judging.
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CRISIS FIRST AID FOR PANIC ATTACKS (cont’d)
5. Explain they are having a panic attack and it is not life
threatening.
6. Explain that the attack will soon stop and they
will recover.
7. Assure the person someone will stay with them and
keep them safe until the attack stops.
Whatever type of attack it is, the first aid for a conscious person is
to keep them as calm as possible with slow, deep breathing.
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Symptoms/Behaviors of
OBSESSIVE COMPULSIVE
DISORDER
The person:
- has upsetting thoughts or images in their mind that are repeated again and
again.
- feels like he/she can’t stop these thoughts or images, even though they want
to.
- has a hard time stopping doing these things again and again, like: counting,
checking on things, washing hands, re-arranging objects, doing things until
it feels right, collecting useless objects.
- worries a lot about terrible things that could happen if they not careful.
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Possible Causes of Anxiety Disorders
Some people are more likely than others to react with anxiety
when they feel threatened:
 People with a more sensitive emotional nature who tend to see
the world as threatening
 People who have had a difficult childhood
(physical abuse, sexual abuse, neglect, over-strictness)
 Gender (females are more prone to anxiety)
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Possible Causes of Anxiety Disorders cont’d
Some medical conditions are frequently associated with
anxiety symptoms:
 hyperthyroidism
 vitamin B12 deficiency
 seizures
 cardiac conditions such as arrhythmias
Certain prescription drugs:
 consult doctor if concerned
Other non-prescription drugs:
 Caffeine
 Cocaine, LSD, ecstasy and speed
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Anxiety, Depression and Alcohol
These three disorders often occur together. Anxiety can be coupled with
depression, and either can also be coupled with abuse of alcohol or other
drugs. Often the drug and alcohol abuse is an attempt to manage the
symptoms of the other disorder(s). However, ongoing abuse of alcohol can
lead to serious problems even after the mental health issues have been
treated. It is important to be honest with your doctor about any and all
symptoms you might be experiencing.
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HOW TO TALK TO PERSON WHO HAS EXPERIENCED A
TRAUMATIC EVENT
1.
2.
3.
4.
5.
6.
Let person tell their story if they wish but do not push them to do so.
Be a patient and empathetic listener and don’t give a lot of advice.
Reassure that stress reactions are normal responses to abnormal events.
Encourage the person to share their feelings with others.
Advise the person not to use alcohol or drugs to cope.
If the stress reaction persists for more than a month, encourage person to seek
professional help.
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Being a Good Listener
We need to use listening skills so that the anxious person can talk freely and
comfortably about problems without feeling judged.
 Attitudes
Accept the person exactly as they are.
Make no moral judgment about the situation.
 Verbal skills
Listen without interrupting, minimal prompts and long pauses are OK.
Pay attention.
Check you understand what is said – restate, clarify.
Summarize facts and feelings.
 Non-verbal skills (body language)
Be attentive.
Keep eye contact comfortable.
Open body , not directly opposite.
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Self-Help Strategies
 Some self-help strategies have
proven therapeutic effects for
anxiety disorders.
 Anxiety are best overcome by
confronting fears rather than
avoiding them.
 Exercise regularly and get
enough sleep.
 Support groups can be very
helpful.
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What Helps Anxiety?
Medication
Therapy
Relaxation Therapy
Meditation
Physical Exercise
CBT self-help books
Acupuncture
Music for relaxation
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Slow-Breathing Technique
 Hold your breath and count to 6 (don’t take a deep breath). When you
get to 6, breathe out and say the word “relax” to yourself in a calm
soothing manner.
 Breathe in and out slowly in a six-second cycle. Breathe in for three
seconds and out for three seconds. This will produce a breathing rate of
10 breaths per minute. Say the word “relax” to yourself every time you
breathe out. Breathe in a smooth and light manner.
 Make sure you breathe through your nose and use your abdomen rather
than chest muscles.
 At the end of each minute (after 10 breaths) hold your breath again for 6
seconds and then continue breathing in the six-second cycle.
 Continue breathing in this way until all the symptoms of over-breathing
have gone.
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Let’s summarize what we’ve learned about
anxiety
• It is the most common form of mental health
disorder in the US.
• Responding to a panic attack can be as simple as
staying calm, and taking slow deep breaths.
• There are many causes of anxiety disorders. They are
not caused by weakness of character.
• There are many effective self-help strategies for
managing mild anxiety.
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Part three: What
are symptoms of psychosis?

Psychosis is a state in which a person
has lost some contact with reality.

There may be severe disturbances in
thinking, emotion, and behavior.

Psychotic symptoms are not as
common as symptoms of depression
and anxiety disorders.
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Observing psychosis
in someone can be
frightening. Our
culture and history
reflect this fear.
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Common conditions associated with Psychosis
Schizophrenia
Bipolar disorder- manic phase
Depression
Schizoaffective disorder
Drug-induced psychosis- refers to hallucinations associated
with alcohol or drug abuse.
Other physical causes: such as post-partum depression,
Alzheimer's disease, Parkinson’s disease, AIDS, nutritional deficiency,
stroke, and brain tumors.
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Disordered thoughts (Delusions)
Delusions are false beliefs. Common delusions
might be:
• Belief that the person is someone famous or important such
as the Virgin Mary, or a famous movie star.
• Belief that someone is monitoring the person by secretly
listening into their home, or observing them through hidden
cameras.
• Belief that something very dangerous or important is about to
happen, such as the end of the world.
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Disordered perceptions
(Hallucinations)
Hallucinations involve false information received through one
of the five senses. Hallucinations might involve:
• Auditory (the most common kind of hallucination). The
person may hear voices telling him/her negative or
frightening things.
• Visual hallucinations involve seeing people or other disturbing
images.
• Unusual sensations such as spiders crawling on the skin, or
unusual smells may be experienced.
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Common Symptoms When
Psychosis is Developing
Changes in thinking and perception
▣Difficulties with concentration or attention
▣Sense of alteration of self, others or the outside world e.g., feeling that self or
others have changed or are acting different in some way, or depersonalization.
▣Strange ideas or beliefs
▣Unusual perceptual experiences - Senses may become more acute or blunted.
Changes in behavior
▣Sleep disturbance
▣Social isolation or withdrawal
▣Reduced ability to carry out work and social roles
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Symptoms of Schizophrenia*
 Schizophrenia literally means “fractured mind.”
 Mental function changes and thoughts and perceptions become disordered.
 Schizophrenia is not a constant or static condition and people can recover.
Most common symptoms:
 Delusions
 Hallucinations
 Thinking difficulties
 Loss of drive
 Blunted emotions
 Social withdrawal
*Note: there are many sub-categories of schizophrenia
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Symptoms of Bipolar Disorder*
 Bipolar disorder is characterized by extreme mood swings.
 A person has periods of depression and mania and normal mood.
 A person must have episodes of both depression and mania.
*There are many subcategories of bipolar disorder and other mood disorders
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Common Symptoms during a manic phase
 Increased energy and overactivity- very busy, high productivity
 Elated mood- feeling extremely happy
 Need less sleep than usual- sometimes not sleeping at all
 Irritability
 Rapid thinking and speech- thoughts racing, talking a “mile a minute”
 Lack of inhibitions- engaging in impulsive behavior such as sexual activity,
gambling, spontaneous travel
 Grandiose delusions- believing they are writing a great novel, believing
they are a religious figure
 Lack of insight- not recognizing the pattern of the symptoms
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Treatment for Psychotic Disorders
• The initial symptoms of these disorders can be
quite disturbing. However, effective
treatments are available.
• Medications are available which will reduce or
eliminate delusions and hallucinations.
• Counseling, along with medication, is the
usual strategy when a person is newly
diagnosed.
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Most people experiencing psychosis are not dangerous to others.
However, sometimes their delusions cause them to believe that
they are under attack and need to defend themselves.
What to do if a Psychotic Person Appears Threatening
1.
2.
3.
4.
5.
6.
7.
8.
Do not get involved physically. This will seem like an attack, and may
cause them to fight back.
Call the police.
Try to create a calm, non-threatening atmosphere.
Try to get the person to sit down.
Do not try to reason with, or argue with acute psychosis.
Express empathy for the person’s emotional distress.
Comply with reasonable requests.
Adopt a neutral stance and a safe position.
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Let’s summarize what we’ve learned about
psychosis
• People with psychosis are far less likely to be a
danger to others than they are to be a danger to
themselves.
• Psychosis is a symptom that is linked to several
mental health disorders.
• There are many causes of psychosis. It is not caused
by weakness of character.
• If a person is experiencing delusions and/or
hallucinations the best response is to stay calm and
supportive, and send for help if needed.
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Being a Good Listener
▣Listen without judging the person as weak.
▣Do not be critical of the person.
▣Don’t give flippant advice.
▣Avoid confrontation.
▣Speak calmly, clearly, and in short sentences.
▣Do not argue with the person.
▣Accept the delusions and hallucinations are real for the person but do
not pretend they are real for you.
▣Do not try to humor the person.
▣Do not make promises you can not keep.
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Part four: What
are
Substance Use Disorders?
 Using alcohol or drugs does not mean a person has a substance use
disorder.
 Substance use disorders include dependence, use that leads to
problems at work or home and/or causes damage to health.
 Alcohol use disorders are 3 times as common as drug use disorders.
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How much is too much?
 Men who drink 5 or more standard drinks in a day (or 15 or more per
week) and women who drink 4 or more in a day (or 8 or more per week)
are at increased risk for alcohol-related problems.
 About 3 in 10 U.S. adults drink at levels that increase their risk for
physical, mental health and social problems.
 All heavy drinkers have a greater risk for hypertension, GI bleeding, sleep
disorders, major depression, stroke, cirrhosis of the liver and several
cancers.
 Heavy drinking often goes undetected by primary care doctors.
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A Standard Drink…
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Problem Drinking Comes
in a Range of Severity
There are two main disorders:
1. Alcohol abuse
2. Alcohol dependence
Alcohol abuse is less severe but can lead to one of four problems: physically
risky behavior (drinking and driving, drinking and using machinery),
interpersonal problems (trouble with family and friends, getting into fights),
“role failures” at home, school or work (unable to take care of family, job
troubles, school problems), and legal troubles (arrest, held at a police
station).
Alcohol dependence is characterized by preoccupation with drinking,
inability to cut back, and symptoms of physical need and withdrawal.
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Categories of Drugs
Stimulants:
- increase alertness, energy, physical activity, and feelings
of well-being.
Depressants:
- decrease body processes such as breathing, heart rate,
and brain activity.
Psychedelics/Hallucinogens:
- can cause visual, auditory, and other sensory hallucinations.
Narcotics:
- Opiate based pain killers.
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Marijuana
 Street Names: weed, pot, reefer, bud,
dope, grass, herb, Mary Jane
 Overview:
 Cannabis plant
 Active Ingredient: THC
 Technically a hallucinogen; has
stimulant and depressant qualities
 Schedule I Drug (in Florida)
 Medical Uses:
 Cancer, HIV/AIDS, glaucoma
(MARINOL)
 Appearance:
 Green leafy buds, hash oil
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Behavioral Healthcare
Marijuana
• THC can be stored in the body from 14-30 days. It
will show up in urinalysis testing during this time.
• A drug is addictive if it causes compulsive, often
uncontrollable drug craving, seeking, and use even in
the face of negative health and social consequences.
Marijuana meets this criterion. More than 120,000
people enter treatment per year for their primary
marijuana addiction. In addition, animal studies
suggest marijuana causes physical dependence, and
some people report withdrawal symptoms.
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Behavioral Healthcare
Marijuana
• Safety Concerns:
▣ Smoke contains 400 toxins and cancer causing chemicals.
▣ Smoking one joint is as harmful as smoking 4-5 regular
cigarettes.
▣ Continuing to smoke can lead to abnormal functioning of lung
tissue resulting in damaged or destroyed cells.
▣ Lower testosterone levels and sperm count. Reduces ability for
reproduction and leads to possible birth defects.
▣ May aggravate depression.
▣ Increases heart rate to dangerous levels.
▣ Reduces the bodies ability to fight off illnesses causing users to
get sick more often.
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Behavioral Healthcare
Possible Causes of Substance Use Disorders
More is known about the causes of alcohol problems:
 Availability and tolerance of alcohol in society
 Social factors: being encouraged to drink
 Genetic predisposition: alcoholism runs in families
 Alcohol sensitivity
 Learning from the behavior of others
 Other mental disorders such as depression
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Behavioral Healthcare
78
How to Help if a Person has Overdosed
..and the person is unconscious:
1. Keep person’s airway clear.
2. Phone 911 for an ambulance.
3. Try to find out what substances have
been used.
4. Keep the person warm.
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Behavioral Healthcare
79
How to Help if a Person has Overdosed
…and the person is conscious:
1. Phone 911 or the Poison Control Center 1-800-222-1222
2. Do not give the person any food or fluids unless told
to by a health professional.
3. Reassure the person.
4. Try to find out what substances have been used.
5. Keep the person warm.
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Behavioral Healthcare
80
Helpful Things to Say When You’re Concerned about Someone’s Drug
or Alcohol Use:
 I know you’re struggling and I want to help.
 I understand that using alcohol/drugs can make it seem like things are
better for a while, but has it begun to cause problems at work or in your
family?
 If so, it may be time to talk to your doctor or a mental health professional.
 Substance use problems are very common. Sometimes, people use
alcohol/drugs to cope with feelings of depression or anxiety.
 There are lots of different ways to get help. Let's talk about what might
be comfortable for you.
 I believe in you and have faith that you can get through this.
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Behavioral Healthcare
81
Encourage the Person to Get
Appropriate Professional Help
 Doctors – Primary Care Physicians
 Psychiatrists, mental health, and substance abuse
professionals
 Family, friends and faith community network
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Behavioral Healthcare
82
Self-Help Groups
 Join Alcoholics Anonymous, Narcotics Anonymous, etc.
 Support groups for families: AL-ANON, Alateen, Adult Children of
Alcoholics
 Church-based support groups
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Behavioral Healthcare
83
Let’s summarize what we’ve learned about
substance abuse
• A person can have a problem with alcohol even if they only
drink beer.
• Drug/alcohol abuse, depression, and anxiety can often
happen at the same time.
• There are many causes of substance abuse problems. They
are not caused by weakness of character.
• “Passing out” from drug or alcohol abuse can be a serious and
life-threatening situation. Emergency help may be needed.
Copyright 2012 Seminole
Behavioral Healthcare
Part five:
Where to Get Help
Private Practitioners & Private Agencies
For those with medical insurance, the best method
for finding help is to call the referral number on the
back of their insurance card. The insurance company
can then direct them to a specialist who can address
their specific need.
Seminole Behavioral Healthcare staff are always
available to you 24/7 at (407) 323-2036 or
www.SeminoleCares.org
Copyright 2012 Seminole
Behavioral Healthcare
National Resources
• The American Psychological Association has resources
available at www.APAHelpCenter.org
• Alcoholics Anonymous has telephone and meeting
information at www.aa.org
• The 24 hour domestic violence hotline can be reached at:
1(800) 799-SAFE or www.ndvh.org
• The 24 hour suicide prevention hotline can be reached at:
1(800) 273-TALK (8255)
Copyright 2012 Seminole
Behavioral Healthcare
To Learn More
To learn more about these disorders, as well as other
emotional and behavioral health problems, please
consider certification in Mental Health First Aid. This
12 hour interactive course is available through
Seminole Behavioral Healthcare, as well as many
locations around the world. To learn more about
Mental Health First Aid, please follow the link on our
website: www.SeminoleCares.org
Copyright 2012 Seminole
Behavioral Healthcare
Seminole Behavioral Healthcare
Please contact us with any questions or
concerns:
237 Fernwood Blvd
Fern park, Florida 32730
(407) 323-2036 (24 hr. number)
www.seminolecares.org
www.seminoleceu.org
Copyright 2012 Seminole
Behavioral Healthcare
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Behavioral Healthcare
Seminole Behavioral Healthcare provides a wide range of
behavioral healthcare services to the citizens of Seminole County.
To learn more about our services, please call: (407) 323-2036.
Copyright 2012 Seminole
Behavioral Healthcare