Psychological Health & Wellness University Counseling Services Joe Hamilton, M.A., L.P.C. Assistant Director [email protected]

Psychological Psychological Health & Health & WellnessWellnessUniversity Counseling University Counseling

ServicesServices

Joe Hamilton, M.A., L.P.C.Joe Hamilton, M.A., L.P.C.

Assistant DirectorAssistant Director

785-4014785-4014

[email protected]@truman.edu

DefinitionsDefinitions Psychological HealthPsychological Health - A general term for a - A general term for a

state of emotional and psychological well-being state of emotional and psychological well-being that allows you to function in society and meet that allows you to function in society and meet the demands of everyday life. (Mayo Clinic)the demands of everyday life. (Mayo Clinic)

Emotional wellnessEmotional wellness is demonstrated by the is demonstrated by the overall comfort with and acceptance of one's full overall comfort with and acceptance of one's full range of feelings. Positive emotions such as range of feelings. Positive emotions such as happiness, amusement, excitement, happiness, amusement, excitement, contentment and love contribute to our overall contentment and love contribute to our overall sense of well-being. It is striving to meet sense of well-being. It is striving to meet emotional needs constructively. It is maintaining emotional needs constructively. It is maintaining good mental health, a positive attitude, high good mental health, a positive attitude, high self-esteem, and a strong self-image. self-esteem, and a strong self-image. (globalserve.net)(globalserve.net)

Psychological HealthPsychological HealthAbraham MaslowAbraham Maslow

Self-ActualizedSelf-Actualized RealismRealism AcceptanceAcceptance AutonomyAutonomy IntimacyIntimacy CreativityCreativity

Other Attributes to Achieve Other Attributes to Achieve Psychological HealthPsychological Health

Maintaining BalanceMaintaining Balance Strong Support SystemStrong Support System Manage StressManage Stress Being Resilient / Letting GoBeing Resilient / Letting Go Having a PurposeHaving a Purpose OptimismOptimism Confidence Confidence

Other Attributes to Achieve Other Attributes to Achieve Psychological Health Psychological Health

ContinuedContinued Authentic HappinessAuthentic Happiness Being at Peace with OneselfBeing at Peace with Oneself Ability to Achieve RelaxationAbility to Achieve Relaxation Have appropriately High Self-Have appropriately High Self-

EsteemEsteem Problem Solving SkillsProblem Solving Skills Good Communication SkillsGood Communication Skills

Common Psychological Common Psychological ConcernsConcerns

National statistics indicate that up to National statistics indicate that up to 32 – 50% of Americans will have a 32 – 50% of Americans will have a diagnosable mental illness during diagnosable mental illness during their lifetime their lifetime Anxiety Disorders (14.4 – 17.2% a year)Anxiety Disorders (14.4 – 17.2% a year) Substance abuse (8.8 – 11.3% a year)Substance abuse (8.8 – 11.3% a year) Mood Disorders (4.3 – 11.3% a year)Mood Disorders (4.3 – 11.3% a year)

Major Depressive DisorderMajor Depressive DisorderSymptomsSymptoms

SSad, empty or anxious moodad, empty or anxious mood**

IInterest/pleasure in activities diminishednterest/pleasure in activities diminished**

GGuilt feelings or feeling worthlessuilt feelings or feeling worthless

EEnergy level low or feeling tired and fatiguednergy level low or feeling tired and fatigued

SSleep difficulties such as insomnia or leep difficulties such as insomnia or oversleepingoversleeping

CConcentration difficulties, trouble making a oncentration difficulties, trouble making a decisiondecision

AAppetite increase or decreaseppetite increase or decrease

PPsychomotor agitation or retardationsychomotor agitation or retardation

SSuicidal ideation or thoughts of deathuicidal ideation or thoughts of deathUp to 21% of women and 13% of men are diagnosed Up to 21% of women and 13% of men are diagnosed

with Major Depression episode in their lifetime.with Major Depression episode in their lifetime.

The Brain, Stress and The Brain, Stress and DepressionDepression

Chemical ImbalanceChemical Imbalance The release of stress hormones The release of stress hormones

triggers fight or flight response triggers fight or flight response and researchers believe a and researchers believe a malfunction in this system often malfunction in this system often underlie depression. underlie depression. http://www.sfn.org/index.cfm?http://www.sfn.org/index.cfm?pagename=brainBriefings_depressionAndStpagename=brainBriefings_depressionAndStressHormonesressHormones

Suicide RatesSuicide Rates MissouriMissouri

704 completed suicides annually704 completed suicides annually 6,906 hospitalized attempts per year6,906 hospitalized attempts per year Average of 19 serious attempts per dayAverage of 19 serious attempts per day Higher state suicide rate than national averageHigher state suicide rate than national average

MO 13.4 vs. USA 11.4MO 13.4 vs. USA 11.4 In 2003, suicide was the second leading cause In 2003, suicide was the second leading cause

of death of those age 15-24 & 25-34 of death of those age 15-24 & 25-34 Colleges studentsColleges students

Suicide rate for college-attending young adults Suicide rate for college-attending young adults has been approximately 7.5 per 100,000 has been approximately 7.5 per 100,000 students per year.students per year.

Suicide rate for college students is Suicide rate for college students is approximately one half the rate of their non-approximately one half the rate of their non-attending peers.attending peers.

What can I do about What can I do about Suicide?Suicide?

For Health Issues we do CPR.For Health Issues we do CPR. For Suicide Issues we do QPRFor Suicide Issues we do QPR

Question the person about suicideQuestion the person about suicide Do they have thoughts? A plan? Don’t be scared Do they have thoughts? A plan? Don’t be scared

to ask!to ask! Persuade the person to get help.Persuade the person to get help.

Listen carefully. Then say “Come with me to find Listen carefully. Then say “Come with me to find help.”help.”

Refer for HelpRefer for Help University Counseling Services 785-4014University Counseling Services 785-4014 1-800-SUICIDE1-800-SUICIDE

Common Psychological Common Psychological ProblemsProblems

Bipolar DisorderBipolar Disorder A clinical course where people rotate A clinical course where people rotate

between depressive and manic statesbetween depressive and manic states Manic state:Manic state:

Inflated self-esteemInflated self-esteem Decreased need for sleepDecreased need for sleep More talkative than usualMore talkative than usual Racing thoughtsRacing thoughts Very distractibleVery distractible Increase in goal-directed activityIncrease in goal-directed activity Excessive involvement in pleasurable activitiesExcessive involvement in pleasurable activities


Anxiety DisordersAnxiety Disorders Typical symptoms include:Typical symptoms include:

Physical symptoms (increased heart rate, Physical symptoms (increased heart rate, sweating, shortness of breath, chest pain, sweating, shortness of breath, chest pain, chills or hot flashes, dizziness, trembling, chills or hot flashes, dizziness, trembling, muscle tension, etc.)muscle tension, etc.)

Thoughts/Fears of dying or going crazyThoughts/Fears of dying or going crazy Difficulty concentrating/Mind going blankDifficulty concentrating/Mind going blank IrritabilityIrritability Sleep disturbanceSleep disturbance


Types of Anxiety DisordersTypes of Anxiety Disorders PhobiasPhobias

Up to 15% of women and 11% of men are Up to 15% of women and 11% of men are diagnosed with Social Phobia during lifetimediagnosed with Social Phobia during lifetime

Panic DisorderPanic Disorder Generalize Anxiety DisorderGeneralize Anxiety Disorder Obsessive-Compulsive Disorder (OCD)Obsessive-Compulsive Disorder (OCD) Post-Traumatic Stress Disorder (PTSD)Post-Traumatic Stress Disorder (PTSD)

Other Psychological Other Psychological DisordersDisorders

SchizophreniaSchizophrenia Substance Abuse DisordersSubstance Abuse Disorders Learning DisordersLearning Disorders Attention Deficit/Hyperactivity DisorderAttention Deficit/Hyperactivity Disorder Eating Disorders (Anorexia and Bulimia)Eating Disorders (Anorexia and Bulimia) Intermittent Explosive Disorder (7.3% Intermittent Explosive Disorder (7.3%

lifetime)lifetime) three episodes of impulsive aggressiveness three episodes of impulsive aggressiveness

“grossly out of proportion to any precipitating “grossly out of proportion to any precipitating psychosocial stressor,” at any time in their life psychosocial stressor,” at any time in their life (National Institute of Health)(National Institute of Health)

2006 National College Health 2006 National College Health AssessmentAssessment

Within the last school year, Truman Within the last school year, Truman students reported experiencing students reported experiencing (based on (based on 552 responses):552 responses):

DepressionDepression 19.7%19.7% Anxiety DisorderAnxiety Disorder 13.8%13.8% Seasonal Affective DisorderSeasonal Affective Disorder 12.5%12.5% BulimiaBulimia 2.9%2.9% Substance Abuse ProblemSubstance Abuse Problem 2.4%2.4% Anorexia Anorexia 1.8%1.8%

2006 NCHA Findings2006 NCHA Findings

Truman students reported that the Truman students reported that the following affected their academics:following affected their academics: StressStress 39.6%39.6% Sleep DifficultiesSleep Difficulties 27.1%27.1% Concern for friend/familyConcern for friend/family 20.4%20.4% Depression/AnxietyDepression/Anxiety 18.8%18.8% Internet/GamingInternet/Gaming 15.1%15.1% Relationship DifficultyRelationship Difficulty 14.6%14.6%

Truman students reported that the Truman students reported that the following affected their academics:following affected their academics: Death of friend/familyDeath of friend/family 8.0%8.0% Attention Deficit DisorderAttention Deficit Disorder 6.4%6.4% Alcohol UseAlcohol Use 5.8%5.8% Eating Disorder/ProblemEating Disorder/Problem 2.4%2.4% Sexual AssaultSexual Assault 1.5%1.5% Drug UseDrug Use 1.3%1.3%

2006 NCHA Findings 2006 NCHA Findings continuedcontinued

2006 NCHA Findings2006 NCHA Findings Truman students reported the Truman students reported the

following during the last school year:following during the last school year: Feeling OverwhelmedFeeling Overwhelmed

Never (2.4%)Never (2.4%) 1-10 Times (66.7%)1-10 Times (66.7%) 11+ Times (31%)11+ Times (31%)

Feeling Very SadFeeling Very Sad Never (17%)Never (17%) 1-10 Times (69.8%)1-10 Times (69.8%) 11+ Times (13.2%)11+ Times (13.2%)


following during the last school year:following during the last school year: Feeling Things Were HopelessFeeling Things Were Hopeless

Never (32.7%)Never (32.7%) 1-10 Times (58.9%)1-10 Times (58.9%) 11+ Times (8.4%)11+ Times (8.4%)

Feeling So Depressed it was Difficult to Feeling So Depressed it was Difficult to FunctionFunction Never (55.1%)Never (55.1%) 1-10 Times (38.3%)1-10 Times (38.3%) 11+ Times (6.6%)11+ Times (6.6%)


following during the last school year:following during the last school year: Seriously Considering Attempting Seriously Considering Attempting

SuicideSuicide Never (90.7%)Never (90.7%) 1-10 Times (8.2%)1-10 Times (8.2%) 11+ Times (1.1%)11+ Times (1.1%)

Attempting SuicideAttempting Suicide Never (98.5%)Never (98.5%) At Least Once (1.5%)At Least Once (1.5%)

2006 NCHA Findings2006 NCHA Findings

Truman students that reported being Truman students that reported being diagnosed with depression:diagnosed with depression:

Males 12.6%, Females 16.2%Males 12.6%, Females 16.2%

Of those who reported a diagnosis of Of those who reported a diagnosis of depression:depression:

Currently in TherapyCurrently in Therapy Males 17.6%, Females 22.4%Males 17.6%, Females 22.4%

Currently Taking Medication:Currently Taking Medication: Males 23.5%, Females 44.8%Males 23.5%, Females 44.8%

What Causes Psychological What Causes Psychological Problems?Problems?

There appears to be many There appears to be many factors. These include:factors. These include: Genetic componentsGenetic components Environmental componentsEnvironmental components Individual characteristicsIndividual characteristics

So what can I do to be So what can I do to be psychologically healthy?psychologically healthy?

Do the things we talked about at the Do the things we talked about at the beginning of our talk today:beginning of our talk today:

Self-ActualizedSelf-Actualized RealismRealism

AcceptanceAcceptance AutonomyAutonomy

IntimacyIntimacy CreativityCreativity

Maintaining BalanceMaintaining Balance Strong Support SystemStrong Support System

Manage StressManage Stress Being Resilient / Letting Being Resilient / Letting GoGo

Having a PurposeHaving a Purpose OptimismOptimism

ConfidenceConfidence Authentic HappinessAuthentic Happiness

Being at Peace with OneselfBeing at Peace with Oneself Ability to Achieve Ability to Achieve RelaxationRelaxation

High Self-EsteemHigh Self-Esteem Problem Solving SkillsProblem Solving Skills

Good Communication SkillsGood Communication Skills

Some other things to help Some other things to help be psychologically healthy?be psychologically healthy?

ExerciseExercise Laugh moreLaugh more Put things in perspectivePut things in perspective Get appropriate rest/sleepGet appropriate rest/sleep Practice stress management Practice stress management

techniquestechniques Deep BreathingDeep Breathing MeditationMeditation ImageryImagery

Seek professional assistanceSeek professional assistance

University Counseling University Counseling ServicesServices

Free and confidential counseling to Truman Free and confidential counseling to Truman studentsstudents

6 Full-time professional therapists6 Full-time professional therapists Offer individual, relationship and group Offer individual, relationship and group

counselingcounseling Open 8-5 M-FOpen 8-5 M-F Plus on call 7 days a week, 24 hours a day Plus on call 7 days a week, 24 hours a day

(during academic year) 665-5621(during academic year) 665-5621 Willing to do presentations to any group over Willing to do presentations to any group over

a wide variety of topicsa wide variety of topics Referral assistanceReferral assistance

University Counseling University Counseling ServicesServices

(660) 785-4014(660) 785-4014

202 Patterson (located west of Grim Hall)202 Patterson (located west of Grim Hall)

http://ucs.truman.eduhttp://ucs.truman.edu

[email protected]@truman.edu

THANK YOU!!THANK YOU!!

ANY QUESTIONS?ANY QUESTIONS?

Documents

Psychological Health & Wellness University Counseling Services Joe Hamilton, M.A., L.P.C. Assistant Director [email protected]